4A (Expenses $ 62569735 including grants of $ 2818767) (Revenue $ 2240146)
SFMC IS THE ONLY COMPREHENSIVE, NON-PROFIT HEALTH CARE INSTITUTION SERVING ONE MILLION RESIDENTS OF SOUTHEAST LOS ANGELES. A 384-BED FACILITY, SFMC OFFERS A FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES. SFMC OPERATES ONE OF THE LARGEST AND BUSIEST PRIVATE EMERGENCY/TRAUMA CENTERS IN LOS ANGELES COUNTY. OUR HEART AND VASCULAR CENTER, MATERNAL-CHILD HEALTH PROGRAM, ORTHOPEDICS/JOINT REPLACEMENT PROGRAM, IMAGING SERVICES, BEHAVIORAL HEALTH AND WOUND CARE FACILITIES OFFER COMPREHENSIVE SERVICES TO THE COMMUNITY. OUR PRIMARY STROKE CARE CENTER AND STEMI RECEIVING CENTER, BOTH APPROVED BY THE LOS ANGELES COUNTY EMERGENCY MEDICAL SERVICES AGENCY, FILLS A MAJOR GAP IN CRITICAL SERVICES IN LOS ANGELES. IN ADDITION TO OUR ACUTE AND OUTPATIENT HEALTH CARE SERVICES, SFMC OPERATES A BROAD RANGE OF (CONTINUED IN SCHEDULE O)EDUCATIONAL AND COMMUNITY SERVICE PROGRAMS.

PART V, SECTION B, LINE 5: ASSESSMENT PROCESS AND METHODS
"IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA, A COMMUNITY HEALTH NEEDS ASSESSMENT (""CHNA"") IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2019 (TAX YEAR 2018). THE CHNA BUILDS UPON THOSE EARLIER ASSESSMENTS. TO ENSURE DIFFERING PERSPECTIVES AND THOROUGHNESS, THE CHNA USED A VARIETY OF METHODS TO COLLECT INFORMATION ABOUT HEALTH, SOCIAL AND DEMOGRAPHIC CHARACTERISTICS OF THE COMMUNITY SERVED BY ST. FRANCIS MEDICAL CENTER. THE ASSESSMENT DREW PRIMARILY FROM THE FOLLOWING INFORMATION SOURCES: SECONDARY DATA COLLECTIONSECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE, AND PREVENTIVE PRACTICES. WHEN AVAILABLE, DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA TO HELP FRAME THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. SOURCES OF DATA INCLUDE: THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA HEALTH INTERVIEW SURVEY, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THINK HEALTH LA, COUNTY HEALTH RANKINGS, CALIFORNIA DEPARTMENT OF EDUCATION, CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND CALIFORNIA DEPARTMENT OF JUSTICE, AMONG OTHERS. SECONDARY DATA FOR THE SERVICE AREA WERE COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATION. THE TABLES PRESENT THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G. RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), THE DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE. ANALYSIS OF SECONDARY DATA INCLUDES AN EXAMINATION AND REPORTING OF HEALTH DISPARITIES FOR SOME HEALTH INDICATORS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURE THE DATA FINDINGS AS COMPARED TO HEALTHY PEOPLE 2020 OBJECTIVES, WHERE APPROPRIATE. HEALTHY PEOPLE 2020 OBJECTIVES ARE A NATIONAL INITIATIVE TO IMPROVE THE PUBLIC'S HEALTH BY PROVIDING MEASURABLE OBJECTIVES AND GOALS THAT ARE APPLICABLE AT NATIONAL, STATE, AND LOCAL LEVELS.PRIMARY DATA COLLECTIONSFMC CONDUCTED INTERVIEWS, FOCUS GROUPS AND SURVEYS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SFMC PARTICIPATED IN THE LA PARTNERSHIP, A COLLABORATIVE OF LA COUNTY HOSPITALS, THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THE CALIFORNIA COMMUNITY FOUNDATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), TO DEVELOP PRIMARY DATA QUESTIONS.INTERVIEWSTWENTY-ONE INTERVIEWS WERE COMPLETED FROM OCTOBER 2018 TO MARCH 2019. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE COLLABORATIVE HOSPITAL PARTNERS WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE NEEDS ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. INTERVIEW QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- MOST SIGNIFICANT HEALTH ISSUES IN THE COMMUNITY- SOCIAL, CULTURAL, BEHAVIORAL, ENVIRONMENTAL OR MEDICAL FACTORS CONTRIBUTING TO POOR HEALTH IN THE COMMUNITY- WHO IS MOST AFFECTED BY THE SIGNIFICANT NEEDS- EFFECTIVE STRATEGIES OR ACTIONS FOR ADDRESSING THE NEEDS- SERVICES MOST CHALLENGING TO ACCESS- POTENTIAL RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS- POTENTIAL AREAS FOR COORDINATION OR COLLABORATION TO ADDRESS COMMUNITY HEALTH NEEDS- ADDITIONAL COMMENTS AND CONCERNSIN ADDITION, STRATEGIC QUESTIONS, WHICH FOCUSED ON SPECIFIC HEALTH NEEDS, WERE INCLUDED. THESE QUESTIONS MATCHED STAKEHOLDER EXPERTISE OR EXPERIENCE WITH THE SIGNIFICANT HEALTH NEEDS. FOR EXAMPLE, A STAKEHOLDER WHO WORKED FOR A MENTAL HEALTH SERVICES AGENCY WAS ASKED SPECIFIC QUESTIONS ABOUT MENTAL HEALTH CONCERNS, BARRIERS AND RESOURCES.FOCUS GROUPSTWENTY FOCUS GROUPS WERE CONDUCTED FROM SEPTEMBER 2018 TO FEBRUARY 2019 AND ENGAGED 232 PERSONS. THE FOCUS GROUP MEETINGS WERE HOSTED BY TRUSTED COMMUNITY ORGANIZATIONS. AN ORGANIZATION CONTACT WAS AVAILABLE TO ANSWER ANY QUESTIONS AT EACH FOCUS GROUP. AT THE BEGINNING OF EACH FOCUS GROUP, THE PURPOSE OF THE FOCUS GROUP AND THE COMMUNITY ASSESSMENT WERE EXPLAINED, THE PARTICIPANTS WERE ASSURED THEIR RESPONSES WOULD NOT BE ATTRIBUTED TO THEM AS RESPONSES WOULD BE AGGREGATED. THE FOCUS GROUP DISCUSSIONS WERE VOICE RECORDED FOR EASE OF DOCUMENTING THE DISCUSSION.BEFORE BEGINNING THE DISCUSSION, THE FACILITATOR ASKED FOR ORAL CONSENT FROM EACH OF THE PARTICIPANTS THAT THEY WISHED TO PARTICIPATE IN THE FOCUS GROUP AND AGREED TO BE VOICE RECORDED. THE FOCUS GROUP PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES RELATED TO TOPICS WITHIN THE FOLLOWING AREAS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- SUGGESTIONS FOR ADDRESSING THE COMMUNITY ISSUES AND NEEDS.- OTHER COMMENTS OR CONCERNS.SURVEYSA SURVEY WAS PROVIDED TO SELECTED STAKEHOLDERS, REPRESENTING COMMUNITY ORGANIZATIONS, INCLUDING SCHOOLS AND NONPROFIT ORGANIZATIONS, WHO HAD NOT BEEN REACHED THROUGH AN INTERVIEW OR FOCUS GROUP. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK. THE SURVEYS WERE COMPLETED FROM JANUARY 25 TO FEBRUARY 8, 2019. TWELVE (12) SURVEYS WERE COLLECTED. SURVEY QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- GAPS OR CHALLENGES TO ADDRESS THESE NEEDS.- RESOURCES AVAILABLE TO HELP ADDRESS THE NEEDS.FOR THE PURPOSES OF THE 2019 REPORT, THE ST. FRANCIS MEDICAL CENTER SERVICE AREA INCLUDES 17 ZIP CODES IN 11 CITIES/COMMUNITIES. THE SERVICE AREA IS LOCATED IN LA CITY COUNCIL DISTRICTS 8 AND 15 AND COMPRISES PORTIONS OF SERVICE PLANNING AREAS (SPAS) 6 AND 7."

PART V, SECTION B, LINE 6A:
"THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THIS PARTNERSHIP WAS ESTABLISHED BECAUSE THERE IS SIGNIFICANT OVERLAP IN THE SERVICE AREAS OF ST. FRANCIS MEDICAL CENTER WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS ON JUNE 18, 2019.PART V, SECTION B, LINE 7A AND 10:ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (""VHS OR ""VERITY HEALTH SYSTEM"") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLYADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH. ON AUGUST 13, 2020, THE ST. FRANCIS MEDICAL CENTER ASSETS WERE SOLD TO PRIME HEALTHCARE AND ST. FRANCIS CEASED TO OPERATE ANY HOSPITAL. THEREFORE, THE ST. FRANCIS MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED IN AUGUST 2020. THE CHNA REPORT WAS AVAILABLE AT HTTPS://STFRANCIS.VERITY.ORG. AS SUCH, THE LINK IS NO LONGER VALID. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE."

PART V, SECTION B, LINE 11:
"SIGNIFICANT HEALTH NEEDS THE HOSPITAL ADDRESSED PRIOR TO SFMC CEASING TO OPERATE THE HOSPITAL USING DATA INCLUDED IN ITS 2019 CHNA REPORT, ST. FRANCIS MEDICAL CENTER IDENTIFIED THE FOLLOWING PRIORITY HEALTH CARE NEEDS IT WOULD ADDRESS IN ITS 2020-2022 IMPLEMENTATION PLAN:1. ACCESS TO CARE2. CHRONIC DISEASES3. VIOLENCE AND INJURY PREVENTION4. BIRTH INDICATORSTHESE ISSUES ARE ADDRESSED THROUGH SPECIFIC HOSPITAL SERVICES AND COMMUNITY OUTREACH PROGRAMS DEVELOPED IN DIRECT RESPONSE TO CURRENT NEEDS.ACCESS TO CAREST. FRANCIS MEDICAL CENTER ADDRESSES ACCESS TO CARE BY TAKING THEFOLLOWING ACTIONS:- PROVIDE FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENTWITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.- PROVIDE FINANCIAL COUNSELING AND HEALTH INSURANCE ENROLLMENT ASSISTANCETHROUGH THE HEALTH BENEFITS RESOURCE CENTER. OFFER SUPPORT FOR FAMILIESWHO MAY HAVE EXPERIENCED DIFFICULTY WITH ENROLLMENT, UTILIZATION, RETENTION AND/OR ACCESS TO THEIR HEALTH BENEFITS.- PROVIDE TRANSPORTATION SUPPORT TO INCREASE ACCESS TO HEALTH CARESERVICES.ST. FRANCIS MEDICAL CENTER PROVIDES NO COST AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. IT ALSO SUBSIDIZES ITS EMERGENCY DEPARTMENT TO COVER THE COST OF UNCOMPENSATED CARE TO HELP ENSURE THAT CRITICAL SERVICES ARE AVAILABLE AROUND THE CLOCK FOR THE COMMUNITY.THE HEALTH BENEFITS RESOURCE CENTER (""HBRC"") IS A ONE-STOP INFORMATION AND REFERRAL SERVICE CENTER THAT LINKS FAMILIES TO VALUABLE GOVERNMENT-SPONSORED HEALTH BENEFITS AND SOCIAL SERVICES AND COMMUNITY PROGRAMS TO PROMOTE HEALTHY FAMILIES, SUCH AS COVERED CALIFORNIA, MEDI-CAL, MEDICARE, MEDICAL ACCESS PROGRAM (FORMERLY AIM -ACCESS FOR INFANTS AND MOTHER), AND CALFRESH (FORMERLY KNOWN AS THE FOODSTAMP PROGRAM). IN ADDITION TO PROVIDING ASSISTANCE WITH THE APPLICATION PROCESS, HBRC OFFERS ONGOING CASE MANAGEMENT SUPPORT FOR FAMILIES WHO MAY EXPERIENCE ANY TYPE OF DIFFICULTY RELATED TO THEIR ENROLLMENT, UTILIZATION, RETENTION AND/OR ACCESS TO THEIR BENEFITS. THE CENTER PERFORMS ONGOING OUTREACH TO EDUCATE THE COMMUNITY ABOUT BENEFITS ANDSAFEGUARDS THAT COME WITH PARTICIPATION IN GOVERNMENT-SPONSORED PROGRAMS. HBRC PROVIDES A DEPENDABLE, TRUSTED REFERRAL MECHANISM TO SOCIAL SERVICES AND RESOURCE AGENCIES FOR ADULTS, FAMILIES, AND SENIORS. HBRC ENROLLMENT SPECIALISTS ARE BILINGUAL AND CULTURALLY SENSITIVE TO BOTH THE ENGLISH AND SPANISH SPEAKING POPULATIONS. THEY WORK ONE-ON-ONE WITH FAMILIES TO ESTABLISH A TRUSTING RELATIONSHIP AND TO PROVIDE A SAFE AND SUPPORTIVE ENVIRONMENT. TO REACH MORE RESIDENTS, HBRC PROVIDES AN EMERGENCY DEPARTMENT-BASED ENROLLMENT SPECIALIST WHO CAN RESPOND TO EMERGENCY PATIENTS AT THE BEDSIDE.DUE TO THE COVID-19 PANDEMIC, HBRC SUSPENDED IN-PERSON APPOINTMENTS IN MARCH 2020, BUT CONTINUED TO PROVIDE HEALTH BENEFIT RESOURCE SERVICES VIA PHONE CONSULTATIONS. IN JUNE 2020, HBRC BEGAN DEVELOPING A PLAN TO SAFELY RESUME IN-PERSON APPOINTMENTS WITH DIRECTION FROM SFMC'S INFECTION PREVENTION MANGER AND FOLLOWING LOS ANGELES COUNTY DEPARTMENT OF HEALTH GUIDELINES.PATIENT TRANSPORTATION IS PROVIDED TO INDIVIDUALS WITHOUT ANY MEANS OF TRANSPORTATION FOLLOWING DISCHARGE, AND TO PARENTS OF INFANTS RECEIVING CARE IN THE HOSPITAL'S NEONATAL INTENSIVE CARE UNIT (NICU) WHO DO NOT HAVE A WAY OF TRAVELING TO AND FROM THE MEDICAL CENTER TO VISIT THEIR BABY. TRANSPORTATION IS ALSO ARRANGED FOR INDIVIDUALS RECEIVING INPATIENT BEHAVIORAL HEALTH SERVICES AT ST. FRANCIS MEDICAL CENTER WHO MAY NEED TRANSPORTATION FOR COURT APPEARANCES OR FOLLOWING DISCHARGE.ST. FRANCIS MEDICAL CENTER CONDUCTS THESE STRATEGIES WITH THE OVERARCHING GOAL TO INCREASE ACCESS TO HEALTH CARE FOR THE MEDICALLY UNDERSERVED.CHRONIC DISEASES ST. FRANCIS MEDICAL CENTER ADDRESSES CHRONIC DISEASES BY TAKING THE FOLLOWING ACTIONS:- OFFER COMMUNITY HEALTH EDUCATION, HEALTH SCREENINGS, AND IMMUNIZATIONS THROUGH THE HEALTHY COMMUNITY INITIATIVES AND LIVING WELL, HEALTHY FUTURE EDUCATIONAL SERIES.- SUPPORT SENIOR WELLNESS THROUGH THE SENIOR CIRCLE OUTREACH PROGRAM.- PROVIDE HEALTH SCREENINGS AND HEALTH EDUCATION AT ELEMENTARY SCHOOLS.- ENGAGE IN ADVOCACY TO PROMOTE POLICIES THAT ADDRESS HEALTHY EATING, PHYSICAL ACTIVITY, AND WELLNESS IN THE COMMUNITY.HEALTHY COMMUNITY INITIATIVES (""HCI"") PROVIDES SCREENINGS AND HEALTH EDUCATION TO DIRECTLY ADDRESS THE HIGH INCIDENCE OF HEART DISEASE, STROKE, DIABETES AND OBESITY IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA. HCI BRINGS HEALTH SCREENINGS FOR BLOOD PRESSURE, GLUCOSE, BODY FAT (BMI), AND HEIGHT AND WEIGHT ALONG WITH CORRESPONDING HEALTH EDUCATION ON NUTRITION, HEALTHY COOKING, AND MANAGING DIABETES TO AREA SCHOOLS, CHURCHES, BUSINESSES AND COMMUNITY ORGANIZATIONS VIA ITS HCI NURSE/NURSE EDUCATOR. IT ALSO HOLDS AN ANNUAL SENIOR AND FAMILY HEALTH FAIR OFFERING FREE HEALTH SCREENINGS, HEALTH EDUCATION, AND CONNECTIONS TO COMMUNITY SERVICES. FOR INDIVIDUALS AND FAMILIES WITHOUT ACCESS TO PRIMARY CARE, HCI PROVIDES THEM WITH IMPORTANT PREVENTIVE SERVICES, THE FIRST STEP IN IDENTIFYING HEALTH CONDITIONS LIKE OBESITY AND DIABETES, HEALTH CARE RESOURCES, AND LINKAGES TO ESSENTIAL FOLLOW-UP CARE AND TREATMENT.IN ADDITION, ST. FRANCIS MEDICAL CENTER IS A DESIGNATED PRIMARY STROKE CENTER AND AN APPROVED STEMI RECEIVING CENTER FOR LA COUNTY EMERGENCY MEDICAL SERVICES, PROVIDING IMMEDIATE EMERGENCY TREATMENT AND INTERVENTION FOR STROKE AND HEART ATTACK VICTIMS.THE SENIOR CIRCLE WELLNESS PROGRAM INCLUDES SESSIONS ON HEALTH TOPICS IMPORTANT TO OLDER ADULTS, INCLUDING HEART DISEASE, STROKE AWARENESS AND PREVENTION, DIET AND EXERCISE, AND DIABETES MANAGEMENT. MONTHLY SENIOR LUNCHEONS FEATURE PRESENTATIONS LED BY HEALTH CARE PROFESSIONALS, AS WELL AS FREE HEALTH SCREENINGS FOR BLOOD PRESSURE, GLUCOSE, CHOLESTEROL, AND HEIGHT AND WEIGHT. A NEW LIVING WELL, HEALTHY FUTURE SERIES HAS BEEN INTRODUCED AND FOCUSES ON MAINTAINING BRAIN HEALTH AND PREVENTING AND COPING WITH DEMENTIAS AND OTHER BRAIN-RELATED CONDITIONS.THE HEALTHY COMMUNITY INITIATIVES NURSE/NURSE EDUCATOR PROVIDES SCHOOL-BASED HEALTH SCREENINGS AND HEALTH EDUCATION AT THREE SOUTH LA ELEMENTARY SCHOOLS IN NEED OF SCHOOL NURSE SERVICES. AUDIO, VISION, SCOLIOSIS, AND DENTAL SCREENINGS ARE OFFERED TO STUDENTS, AS WELL AS HEALTH EDUCATION ON TOPICS SUCH AS CPR, FIRST AID, MEDICATION ADMINISTRATION, ASTHMA, FOOD ALLERGY AND ANAPHYLAXIS, EPILEPSY, LICE, GROWTH AND DEVELOPMENT, AND DENTAL EMERGENCIES FOR STUDENTS, PARENTS, AND FACULTY AND STAFF.ST. FRANCIS MEDICAL CENTER'S HEALTHY COMMUNITY INITIATIVES DIRECTOR PARTICIPATES ON COMMUNITY BOARDS AND COALITIONS TO ADDRESS ISSUES THAT AFFECT OVERALL HEALTH AND WELL-BEING. COLLABORATIVE PARTNERS SHARE A COMMITMENT TO MEETING THE COMMUNITY'S HEALTH CARE NEEDS AND INCLUDE LYNWOOD UNIFIED SCHOOL DISTRICT HEALTHY COLLABORATION, IMMUNIZE LA, AND HUNTINGTON PARK CHAMBER OF COMMERCE. THROUGH THESE COLLABORATIONS, RESOURCES ARE STRENGTHENED AND BEST PRACTICES ARE OPTIMIZED, RESULTING IN OUTREACH PROGRAMS WITH THE GREATEST POSITIVE IMPACT.ST. FRANCIS MEDICAL CENTER CONDUCTS THE ABOVE REFERENCED STRATEGIES WITH THE OVERARCHING GOAL TO REDUCE THE IMPACT OF CHRONIC DISEASES ON HEALTH AND INCREASE THE FOCUS ON CHRONIC DISEASE PREVENTION, TREATMENT AND SELF-MANAGEMENT. IN MARCH 2020, HCI EVENTS WERE PUT ON HOLD DUE TO THE CORONAVIRUS OUTBREAK. IT IS ANTICIPATED THAT ACTIVITIES WILL RESUME WHEN COVID-19 RESTRICTIONS ARE EASED AND SFMC CAN SAFELY COORDINATE EVENTS, FOLLOWING STATE AND LOCAL GUIDELINES.VIOLENCE AND INJURY PREVENTIONST. FRANCIS MEDICAL CENTER ADDRESSES VIOLENCE AND INJURY PREVENTION BY TAKING THE FOLLOWING ACTIONS:- CONDUCT AN INJURY PREVENTION PROGRAM IN PARTNERSHIP WITH SOUTHERN CALIFORNIA CROSSROADS AND THE SOUTH LOS ANGELES TRAUMA RECOVERY CENTER.THE INJURY PREVENTION PROGRAM WORKS WITH SCHOOLS, HOSPITALS, AND OTHER PUBLIC AND PRIVATE ORGANIZATIONS TO ADDRESS SAFETY AND HELP PREVENT TRAUMATIC INJURY. THE PROGRAM TARGETS ISSUES THAT ARE OFTEN UNDERLYING FACTORS IN THE CAUSE OF INJURIES, SUCH AS SAFETY, BULLYING, DOMESTIC AND GANG VIOLENCE, AND SELF-ESTEEM.WITH FIRSTHAND KNOWLEDGE OF THE DEVASTATING EFFECTS OF VIOLENCE AND INJURY ON PATIENTS AND FAMILY MEMBERS, ST. FRANCIS MEDICAL CENTER'S TRAUMA TEAM OF PHYSICIANS, NURSES, AND STAFF LEAD THE HOSPITAL'S INJURY PREVENTION EFFORTS. THEY SERVE AS PRESENTERS AT VIOLENCE PREVENTION CONFERENCES, ORGANIZE SAFETY AND INJURY PREVENTION PROGRAMS FOR STUDENTS AND YOUTH, AND WORK WITH ELECTED OFFICIALS AND COMMUNITY GROUPS TO COALESCE PREVENTION EFFORTS.ST. FRANCIS MEDICAL CENTER DEDICATES A FULL-TIME STAFF MEMBER, ITS INJURY PREVENTION COORDINATOR, TO DEVELOP AND COORDINATE TRAUMA AND INJURY PREVENTION PROGRAMS, REPRESENT ST. FRANCIS MEDICAL CENTER AT COALITION MEETINGS, AND ORGANIZE COMMUNITY-BASED PROGRAMS THAT ENGAGE AND EMPOWER YOUTH AND YOUNG ADULTS."

COLLABORATIVE PARTNERSHIPS HAVE STRENGTHENED ST. FRANCIS MEDICAL CENTER'S
"ABILITY TO REACH AT-RISK INDIVIDUALS. IN 2013, THE HOSPITAL JOINED EFFORTS WITH SOUTHERN CALIFORNIA CROSSROADS (""CROSSROADS"") TO ESTABLISH AN EDUCATION AND WORK SKILLS PROGRAM IN OUR COMMUNITY. CROSSROADS IS A NON-PROFIT ORGANIZATION COMMITTED TO ASSISTING UNDERPRIVILEGED INDIVIDUALS LIVING IN VIOLENCE-PLAGUED NEIGHBORHOODS LEAD HEALTHY, PEACEFUL AND PRODUCTIVE LIVES THROUGH PREVENTION, INTERVENTION, AND RE-ENTRY INTO SOCIETY. THE PROGRAM WAS ORGANIZED BY SFMC'S INJURY PREVENTION COORDINATOR, WHO ALSO SERVES AS THE CROSSROADS' PROGRAM DIRECTOR. ST. FRANCIS MEDICAL CENTER PROVIDES DEDICATED WORKSPACE AND FACILITIES FOR THE PROGRAM IN A NEARBY PROFESSIONAL OFFICE BUILDING.THE CROSSROADS PROGRAM PROVIDES GED PREPARATION, JOB TRAINING AND PLACEMENT, AND SUPPORT SERVICES, WITH THE GOAL OF HELPING YOUNG MEN AND WOMEN AGES 18 TO 24 TRANSFORM THEIR LIVES AND ACHIEVE POSITIVE, PRODUCTIVE LIFESTYLES. THE PROGRAM REACHES OUT TO THE HOSPITAL'S TRAUMA PATIENTS WHO ARE VICTIMS OF VIOLENCE, INCLUDING EX-OFFENDERS AND HIGH SCHOOL DROP-OUTS, AND OTHER PATIENTS IDENTIFIED AS ""AT RISK.""PARTICIPANTS ENGAGE IN A VARIETY OF COMPREHENSIVE SERVICES THAT ENABLE THEM TO CONTINUE THEIR EDUCATION AND RECEIVE TRAINING AND SKILLS FOR FUTURE EMPLOYMENT AND THAT HELP TO PREPARE THEM TO SUCCESSFULLY COMPETE IN THE LABOR MARKET.THE PROGRAM ALSO DEVELOPS LINKAGES BETWEEN THE SERVICES OF STATE CORRECTIONAL AGENCIES, LOCAL PAROLE OFFICES, LOCAL DRUG AND ALCOHOL TREATMENT CENTERS, AND AREA WORKFORCE INVESTMENT BOARDS, AND COORDINATES AND LEVERAGES RESOURCES BETWEEN OTHER PROJECT GRANTEES AND TRAINING SERVICE PROVIDERS.GANG PREVENTION AND INTERVENTION CONFERENCE - THE INJURY PREVENTION PROGRAM ALSO COLLABORATES WITH CROSSROADS IN THE PLANNING AND EXECUTION OF THE ANNUAL LOS ANGELES GANG PREVENTION AND INTERVENTION CONFERENCE. THE ANNUAL CONFERENCE FOCUSES ON YOUTH AND GANG VIOLENCE AND HOW COMMUNITIES IN CITIES HERE AND ABROAD ARE IMPACTED. THE EVENT BRINGS TOGETHER EXPERTS AND PRACTITIONERS FROM THE FIELDS OF HEALTH, SOCIAL SERVICES, AND LAW ENFORCEMENT ALONG WITH CIVIC AND COMMUNITY LEADERS TO SHARE EXPERTISE AND DATA-PROVEN MODELS TO IMPROVE VIOLENCE REDUCTION SERVICES, PRACTICES AND POLICIES. THE CONFERENCE EMPHASIZES COLLABORATION AND CROSS-SECTOR PARTNERSHIPS, WITH A GOAL OF CHANGING THE STRUCTURE OF GANG PREVENTION, INTERVENTION, AND SUPPRESSION PRACTICE TO INCORPORATE A COMPREHENSIVE MODEL.DUE TO COVID-19, THE 2020 GANG PREVENTION AND INTERVENTION CONFERENCE WAS SUSPENDED INDEFINITELY.ST. FRANCIS MEDICAL CENTER FURTHER COLLABORATED WITH CROSSROADS TO ESTABLISH THE SOUTH LOS ANGELES TRAUMA RECOVERY CENTER (""TRC""). SUPPORTED THROUGH FUNDING FROM THE CALIFORNIA VICTIM COMPENSATION BOARD (""CALVCB""), THE TRC HELPS CENTRALIZE AND COORDINATE A RANGE OF FREE SERVICES FOR VICTIMS OF VIOLENT CRIME AND FAMILIES OF HOMICIDE VICTIMS. THE SOUTH LA TRAUMA RECOVERY CENTER PROVIDES FUNDAMENTAL INTEGRATED SERVICES.1. OUTREACH TO HARD-TO-REACH POPULATIONS CONDUCTED BY VICTIM ADVOCATES. INFORMATIONAL PAMPHLETS, FLYERS, AND PUBLIC SERVICE ANNOUNCEMENTS ARE MADE AVAILABLE AT NEIGHBORHOOD LIQUOR STORES, CORNER MARKETS, PARKS, AND OTHER PLACES THAT RESIDENTS CONGREGATE OR HAVE BEEN IDENTIFIED AS HIGH-CRIME AREAS. IN ADDITION, THE HEALTH BENEFITS RESOURCE CENTER AT ST. FRANCIS MEDICAL CENTER PROVIDES REFERRALS TO THE TRC AND ASSISTS TRC CLIENTS IN APPLYING FOR HEALTH INSURANCE, CALFRESH BENEFITS, AND OTHER BASIC NEEDS.2. TRAINING FOR LAW ENFORCEMENT AGENCIES, COMMUNITY-BASED AGENCIES AND OTHER HEALTH CARE PRACTITIONERS. TRAINING SESSION TOPICS INCLUDE IDENTIFYING CRIME, UNDERSTANDING THE IMPACT OF CRIME ON BEHAVIOR AND HEALTH, AND THE IMPORTANCE OF TREATING TRAUMA ARISING FROM VICTIMIZATION. 3. DIRECT SERVICES FOR CRIME VICTIMS AND FAMILY MEMBERS OF HOMICIDE VICTIMS USING AN EVIDENCE-BASED TREATMENT MODEL.THE SOUTH LA TRC'S DIRECT SERVICES ARE PRIMARILY OFFERED ON SITE AT CROSSROADS AND AT ST. FRANCIS MEDICAL CENTER, WITH PARTNER AGENCIES PROVIDING SERVICES AT THEIR SITES OR IN VICTIMS' HOMES ON AN AS NEEDED BASIS. ALL CRIME VICTIMS AND FAMILIES OF HOMICIDE VICTIMS ARE ELIGIBLE FOR SERVICES.DIRECT SERVICES, CUSTOMIZED FOR EACH INDIVIDUAL AND TAKING INTO ACCOUNT THE TYPE OF CRIME EXPERIENCED, FALL INTO THE FOLLOWING THREE CATEGORIES: MEDICAL CARE: FOLLOW UP ON INJURIES, REHABILITATION, MEDICATION MANAGEMENT, PHYSICAL THERAPY AND HEALTHY LIVING PROGRAMS.MENTAL HEALTH: SHORT TERM COUNSELING, CRISIS INTERVENTION, ASSESSMENT AND SAFETY PLANNING; LONG TERM THERAPY, GROUP THERAPY, PSYCHIATRIC FOLLOW-UP (AS NEEDED), COUNSELING FOR CHILDREN (AS NEEDED), ADVOCACY (INCLUDES COMPLETING THE APPLICATION FOR VICTIM COMPENSATION FUNDS, PROVIDING INFORMATION ON GRIEF AND TRAUMA, NAVIGATING THE CRIMINAL JUSTICE SYSTEM, AND ASSISTING WITH VICTIM IMPACT STATEMENTS) AND CLINICAL CASE MANAGEMENT.INFORMATION AND REFERRALS FOR NON-DIRECT SERVICES: LEGAL SERVICES, BENEFITS ENROLLMENT, VOCATIONAL AND EDUCATIONAL SUPPORT, JOB PLACEMENT, TRANSITIONAL HOUSING, TRANSPORTATION (INCLUDING LA METRO TAP CARDS AND/OR TAXI VOUCHERS), SUBSTANCE ABUSE, EMERGENCY SHELTERS, AND OTHERS.ADDITIONAL SERVICES PROVIDED TO SEXUAL ASSAULT VICTIMS INCLUDE MEDICAL EXAMINATIONS, TREATMENT, TESTING FOR HIV AND SEXUALLY TRANSMITTED ILLNESS; TRANSFER TO A LOCAL SART (SEXUAL ASSAULT RESPONSE TEAM), IF NEEDED; ADVOCACY AND SUPPORT DURING INTERACTIONS WITH LAW ENFORCEMENT; COURT ACCOMPANIMENT; AND REFERRALS AND CRISIS HOTLINES.GANG REDUCTION AND YOUTH DEVELOPMENT (""GRYD"") - THROUGH A GRANT AWARDED TO ST. FRANCIS MEDICAL CENTER FOUNDATION FROM THE CITY OF LOS ANGELES MAYOR'S OFFICE AS PART OF A CITY-WIDE EFFORT TO REDUCE GANG INVOLVEMENT BY YOUTH, GRYD ADDRESSES GANG VIOLENCE IN A COMPREHENSIVE AND COORDINATED WAY, BY WORKING WITH COLLABORATIVE COMMUNITY-BASED AGENCIES THAT HAVE A SHARED COMMITMENT TO CURTAIL VIOLENCE AND INJURY. GRYD FOCUSES ON YOUTH AGES 10-15 WHO ARE IDENTIFIED AS HIGH-RISK FOR GANG RECRUITMENT. GRANT PROGRAM SERVICES ARE PROVIDED THROUGH ST. FRANCIS MEDICAL CENTERS' INJURY AND PREVENTION PARTNER, CROSSROADS, WHICH CONDUCTS SCREENINGS AND ASSESSMENTS TO IDENTIFY YOUTH AT HIGH-RISK FOR JOINING GANGS. UP TO 150 YOUTH ARE SERVED AT ANY ONE TIME THROUGH A SIX-MONTH PROGRAM.AS PART OF THE GRYD COLLABORATION, ST. FRANCIS MEDICAL CENTER WORKS WITH THE UNIFIED SCHOOL DISTRICTS OF LOS ANGELES, COMPTON, LYNWOOD, AND EL RANCHO, ST. LAWRENCE BRINDISI SCHOOL, COLLEGE BRIDGE ACADEMY, THE LOS ANGELES POLICE DEPARTMENT, AND THE DEPARTMENT OF CHILD AND FAMILY SERVICES, AMONG OTHERS. ST. FRANCIS MEDICAL CENTER CONDUCTS THE ABOVE REFERENCED STRATEGIES WITH THE OVERARCHING GOAL TO REDUCE THE IMPACT OF VIOLENCE AND INJURY IN THE COMMUNITY.BIRTH INDICATORSST. FRANCIS MEDICAL CENTER ADDRESSES BIRTH INDICATORS BY TAKING THE FOLLOWING ACTIONS:- COLLABORATION WITH LOS ANGELES COUNTY FIRST 5 LA WELCOME BABY PROGRAM.- FOR FAMILIES RESIDING WITHIN A BEST START COMMUNITY, THE WELCOME BABY PROGRAM PROVIDES TWO PRENATAL VISITS, A HOSPITAL VISIT, AND FIVE POSTPARTUM VISITS.- FOR FAMILIES RESIDING OUTSIDE A BEST START COMMUNITY, THE WELCOME BABY PROGRAM PROVIDES A HOSPITAL VISIT AND TWO POSTPARTUM VISITS. - USING UNIVERSAL RISK SCREENING DURING THE WELCOME BABY HOSPITAL VISIT, THE FAMILIES WHO NEED ADDITIONAL SUPPORT ARE IDENTIFIED.- FAMILIES RECEIVE INFORMATION AND SUPPORT DURING EACH WELCOME BABY VISIT ON TOPICS THAT MAY INCLUDE: BREASTFEEDING, HOME SAFETY, THE IMPORTANCE OF A MEDICAL HOME, WELL-CHILD VISITS AND IMMUNIZATIONS, SMOKING CESSATION, CRYING PATTERNS, PARENT-TO-CHILD TEMPERAMENT, AND POST-PARTUM DEPRESSION. - INCREASE BREASTFEEDING THROUGH THE BABY FRIENDLY HOSPITAL INITIATIVE.THE WELCOME BABY PROGRAM PROVIDES ACCESS TO PRENATAL CARE. THE PROGRAM OFFERS PERSONALIZED PRENATAL, POST-PARTUM, AND HOSPITAL VISITS WITH A PROFESSIONALLY TRAINED PARENT COACH, FROM PREGNANCY THROUGH THE BABY'S FIRST 9 MONTHS, FOR FAMILIES LIVING WITHIN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA THAT ARE DESIGNATED BY LA COUNTY AS FIRST 5 LA'S BEST START COMMUNITIES AND WHO MEET THE WELCOME BABY PROGRAM ELIGIBILITY CRITERIA.AVAILABLE AT NO COST TO ALL MATERNITY PATIENTS, THE WELCOME BABY CONTINUUM OF CARE INCLUDES BREASTFEEDING SUPPORT FROM WELCOME BABY STAFF (WHO ARE ALL CERTIFIED LACTATION EDUCATORS), REFERRALS TO COMMUNITY RESOURCES, AND AN IN-HOME VISIT BY A REGISTERED NURSE WITHIN THE FIRST WEEK FOLLOWING MOM AND BABY'S DISCHARGE FROM THE HOSPITAL.ALL FAMILIES RESIDING OUTSIDE OF THE BEST START COMMUNITIES ARE ELIGIBLE FOR THE WELCOME BABY HOSPITAL VISIT. IF THEY DO NOT MEET WELCOME BABY PROGRAM CRITERIA, THEY MAY STILL RECEIVE REFERRALS AND LINKAGES TO SERVICES, IF NEEDED. AND UP TO TWO ADDITIONAL HOME VISITS, IF NEEDED."

WELCOME BABY ADDRESSES THE FIRST 5 LA GOAL AREAS:
"1) THAT CHILDREN MAINTAIN A HEALTHY WEIGHT; 2) THAT CHILDREN ARE SAFE FROM ABUSE AND NEGLECT; AND 3) THAT CHILDREN ARE READY FOR KINDERGARTEN. FIRST 5 LA AND PARTNER HOSPITALS WORK TOGETHER TO REACH THESE GOALS BY FOCUSING ON HEALTH AND WELLNESS BEFORE A BABY'S BIRTH AND CONTINUING THROUGH A CHILD'S FIRST CRITICAL MONTHS.USING PARENT COACHES, WELCOME BABY ADDRESSES PRENATAL TESTING, HOME PLANNING/SAFETY, LABOR SIGNS, BREASTFEEDING, DEPRESSION SCREENING, FAMILY NUTRITION, OBSERVATION FOR JAUNDICE AND HYDRATION, INFANT ASSESSMENTS, AND GROWTH AND DEVELOPMENT MILESTONES. THROUGH BOTH PRENATAL AND POSTPARTUM HOSPITAL AND HOME-BASED VISITS, PARENT COACHES DEVELOP A RELATIONSHIP WITH THE FAMILIES AND PROVIDE EDUCATION IN A CONVENIENT AND COMFORTABLE SETTING, AND THEY HELP TO ENSURE PARENTS ARE CONNECTED TO APPROPRIATE HEALTH CARE SERVICES.TO ADDRESS THE COMMUNITY'S LOW BREASTFEEDING RATES, ST. FRANCIS MEDICAL CENTER CONTINUES TO IMPLEMENT BABY FRIENDLY USA'S TEN STEPS OF SUCCESSFUL BREASTFEEDING WITHIN ITS FACILITY. BABY-FRIENDLY USA IS THE U.S. AUTHORITY FOR THE IMPLEMENTATION OF THE BABY-FRIENDLY HOSPITAL INITIATIVE, A GLOBAL PROGRAM SPONSORED BY THE WORLD HEALTH ORGANIZATION AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF). THE BABY-FRIENDLY PROGRAM AIMS TO INCREASE BREASTFEEDING RATES THROUGH THE EDUCATION OF HEALTH CARE PROVIDERS, MATERNITY PATIENTS, AND PROGRAMS THAT SUPPORT EXCLUSIVE BREASTFEEDING. THE TEN STEPS INCLUDE:1. HAVING A WRITTEN BREASTFEEDING POLICY THAT IS ROUTINELY COMMUNICATED TO ALL HEALTH CARE STAFF.2. TRAINING ALL HEALTH CARE STAFF IN SKILLS NECESSARY TO IMPLEMENT THE POLICY.3. INFORMING ALL PREGNANT WOMEN ABOUT THE BENEFITS AND MANAGEMENT OF BREASTFEEDING.4. HELPING MOTHERS INITIATE BREASTFEEDING WITHIN ONE HOUR OF BIRTH. 5. SHOWING MOTHERS HOW TO BREASTFEED AND HOW TO MAINTAIN LACTATION EVEN IF THEY ARE SEPARATED FROM THEIR INFANTS.6. GIVING NEWBORN INFANTS NO FOOD OR DRINK OTHER THAN BREAST MILK, UNLESS MEDICALLY INDICATED.7. PRACTICING ""ROOM IN"" - ALLOWING MOTHERS AND INFANTS TO REMAIN TOGETHER 24 HOURS A DAY.8. ENCOURAGING BREASTFEEDING ON DEMAND.9. GIVING NO PACIFIERS OR ARTIFICIAL NIPPLES TO BREASTFEEDING INFANTS.10. FOSTERING THE ESTABLISHMENT OF BREASTFEEDING SUPPORT GROUPS AND REFERRING MOTHERS TO THEM ON DISCHARGE FROM THE HOSPITAL OR CLINIC.THROUGH ONGOING EVALUATION OF ITS PROGRAM AND CONTINUED EDUCATION OF DOCTORS, NURSES, AND PATIENTS, ST. FRANCIS MEDICAL CENTER IS DEDICATED TO INCREASING BOTH THE BREASTFEEDING INITIATION AND EXCLUSIVE BREASTFEEDING RATES. THE BABY-FRIENDLY HOSPITAL INITIATIVE EMAPHSIZES PRACTICE OF THE TEN STEPS, RATHER THAN SETTING PERCENTAGE TARGETS. THROUGH CONSISTENT PRACTICE OF THE STEPS, THE EXPECTATION IS THAT EXCLUSIVE BREASTFEEDING RATES WILL INCREASE CORRESPONDINGLY.ST. FRANCIS MEDICAL CENTER CONDUCTS THE ABOVE REFERENCED STRATEGIES WITH THE OVERARCHING GOAL TO IMPROVE MATERNAL AND INFANT HEALTH.ST. FRANCIS MEDICAL CENTER HAS CHOSEN TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE.TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, ST. FRANCIS MEDICAL CENTER IS NOT DEVELOPING A SPECIFIC COMMUNITY BENEFIT STRATEGY TO ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA: DENTAL CARE, ECONOMIC INSECURITY, FOOD INSECURITY, HOUSING AND HOMELESSNESS, MENTAL HEALTH, OVERWEIGHT AND OBESITY, PNEUMONIA AND INFLUENZA, PREVENTIVE PRACTICES, SEXUALLY TRANSMITTED INFECTIONS, AND SUBSTANCE USE AND MISUSE.ST. FRANCIS MEDICAL CENTER DOES INDIRECTLY ADDRESS A NUMBER OF THESE HEALTH NEEDS; HOWEVER, THESE NEEDS ARE NOT BE DIRECTLY TARGETED THROUGH THE IMPLEMENTATION STRATEGY:- SUBSTANCE USE AND MISUSE: SOUTHERN CALIFORNIA CROSSROADS HAS A SUBSTANCE ABUSE COMPONENT.- ECONOMIC INSECURITY: SOUTHERN CALIFORNIA CROSSROADS HAS GED PREPARATION AND A WORK SKILLS COMPONENT.- FOOD INSECURITY: HEALTH BENEFITS RESOURCE CENTER HAS A CALFRESH ELIGIBILITY WORKER ON SITE TO ASSIST WITH ENROLLMENT IN THE STATE FOOD AND NUTRITION PROGRAM.- OVERWEIGHT AND OBESITY: HEALTHY COMMUNITY INITIATIVES PROVIDES BMI HEALTH SCREENINGS AT VARIOUS HOSPITAL AND COMMUNITY-BASED EVENTS ALONG WITH NUTRITION EDUCATION TO PROMOTE A BALANCED DIET AND A HEALTHY WEIGHT.- PREVENTIVE PRACTICES: HEALTHY COMMUNITY INITIATIVES OFFERS ADULT IMMUNIZATIONS AT ITS ANNUAL COMMUNITY HEALTH FAIR AND FLU VACCINES FOR SENIORS.- MENTAL HEALTH: ST. FRANCIS MEDICAL CENTER HAS A BEHAVIORAL HEALTH UNIT, WHICH IS AT CAPACITY YEAR-ROUND AND REFLECTS THE GREAT NEED FOR MENTAL HEALTH SERVICES IN THE HOSPITAL'S SERVICE AREA."

PART V, SECTION B, LINES 16A, 16B AND 16C:
"ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (""VHS"") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.IN ADDITION, AS OF AUGUST 14, 2020, ST. FRANCIS MEDICAL CENTER HOSPITAL ASSETS WERE SOLD TO PRIME HEALTHCARE, WHICH CONTINUES TO OPERATE THE HOSPITAL. THEREFORE, THE ST. FRANCIS MEDICAL CENTER WEBSITE HOSTED BY VHS WAS TERMINATED. THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM AND PLAIN LANGUAGE SUMMARY WERE AVAILABLE AT HTTPS://VERITY.ORG/SFMC/FINANCIALASSISTANCE.PHP PRIOR TO THE WEBSITE TERMINATION. A COPY OF THE REPORT IS AVAILABLE UPON REQUEST TO THE LIQUIDATING TRUSTEE."

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: ST. FRANCIS MEDICAL CENTER

ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 5:
"IN AN EFFORT TO IDENTIFY THE MOST CRITICAL HEALTH CARE NEEDS IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA, A COMMUNITY HEALTH NEEDS ASSESSMENT (""CHNA"") IS CONDUCTED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN FISCAL YEAR 2019 (TAX YEAR 2018). THE CHNA BUILDS UPON THOSE EARLIER ASSESSMENTS. TO ENSURE DIFFERING PERSPECTIVES AND THOROUGHNESS, THE CHNA USED A VARIETY OF METHODS TO COLLECT INFORMATION ABOUT HEALTH, SOCIAL AND DEMOGRAPHIC CHARACTERISTICS OF THE COMMUNITY SERVED BY ST. FRANCIS MEDICAL CENTER. THE ASSESSMENT DREW PRIMARILY FROM THE FOLLOWING INFORMATION SOURCES: SECONDARY DATA COLLECTIONSECONDARY DATA WERE COLLECTED FROM A VARIETY OF LOCAL, COUNTY AND STATE SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL DETERMINANTS OF HEALTH, HEALTH CARE ACCESS, BIRTH INDICATORS, LEADING CAUSES OF DEATH, ACUTE AND CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH, SUBSTANCE USE AND MISUSE, AND PREVENTIVE PRACTICES. WHEN AVAILABLE, DATA SETS ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA TO HELP FRAME THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. SOURCES OF DATA INCLUDE: THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CALIFORNIA HEALTH INTERVIEW SURVEY, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THINK HEALTH LA, COUNTY HEALTH RANKINGS, CALIFORNIA DEPARTMENT OF EDUCATION, CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT AND CALIFORNIA DEPARTMENT OF JUSTICE, AMONG OTHERS. SECONDARY DATA FOR THE SERVICE AREA WERE COLLECTED AND DOCUMENTED IN DATA TABLES WITH NARRATIVE EXPLANATION. THE TABLES PRESENT THE DATA INDICATOR, THE GEOGRAPHIC AREA REPRESENTED, THE DATA MEASUREMENT (E.G. RATE, NUMBER, OR PERCENT), COUNTY AND STATE COMPARISONS (WHEN AVAILABLE), THE DATA SOURCE, DATA YEAR AND AN ELECTRONIC LINK TO THE DATA SOURCE. ANALYSIS OF SECONDARY DATA INCLUDES AN EXAMINATION AND REPORTING OF HEALTH DISPARITIES FOR SOME HEALTH INDICATORS. THE REPORT INCLUDES BENCHMARK COMPARISON DATA THAT MEASURE THE DATA FINDINGS AS COMPARED TO HEALTHY PEOPLE 2020 OBJECTIVES, WHERE APPROPRIATE. HEALTHY PEOPLE 2020 OBJECTIVES ARE A NATIONAL INITIATIVE TO IMPROVE THE PUBLIC'S HEALTH BY PROVIDING MEASURABLE OBJECTIVES AND GOALS THAT ARE APPLICABLE AT NATIONAL, STATE, AND LOCAL LEVELS.PRIMARY DATA COLLECTIONSFMC CONDUCTED INTERVIEWS, FOCUS GROUPS AND SURVEYS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SFMC PARTICIPATED IN THE LA PARTNERSHIP, A COLLABORATIVE OF LA COUNTY HOSPITALS, THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, THE CALIFORNIA COMMUNITY FOUNDATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC), TO DEVELOP PRIMARY DATA QUESTIONS.INTERVIEWSTWENTY-ONE INTERVIEWS WERE COMPLETED FROM OCTOBER 2018 TO MARCH 2019. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE COLLABORATIVE HOSPITAL PARTNERS WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE NEEDS ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. INTERVIEW QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- MOST SIGNIFICANT HEALTH ISSUES IN THE COMMUNITY- SOCIAL, CULTURAL, BEHAVIORAL, ENVIRONMENTAL OR MEDICAL FACTORS CONTRIBUTING TO POOR HEALTH IN THE COMMUNITY- WHO IS MOST AFFECTED BY THE SIGNIFICANT NEEDS- EFFECTIVE STRATEGIES OR ACTIONS FOR ADDRESSING THE NEEDS- SERVICES MOST CHALLENGING TO ACCESS- POTENTIAL RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS- POTENTIAL AREAS FOR COORDINATION OR COLLABORATION TO ADDRESS COMMUNITY HEALTH NEEDS- ADDITIONAL COMMENTS AND CONCERNSIN ADDITION, STRATEGIC QUESTIONS, WHICH FOCUSED ON SPECIFIC HEALTH NEEDS, WERE INCLUDED. THESE QUESTIONS MATCHED STAKEHOLDER EXPERTISE OR EXPERIENCE WITH THE SIGNIFICANT HEALTH NEEDS. FOR EXAMPLE, A STAKEHOLDER WHO WORKED FOR A MENTAL HEALTH SERVICES AGENCY WAS ASKED SPECIFIC QUESTIONS ABOUT MENTAL HEALTH CONCERNS, BARRIERS AND RESOURCES.FOCUS GROUPSTWENTY FOCUS GROUPS WERE CONDUCTED FROM SEPTEMBER 2018 TO FEBRUARY 2019 AND ENGAGED 232 PERSONS. THE FOCUS GROUP MEETINGS WERE HOSTED BY TRUSTED COMMUNITY ORGANIZATIONS. AN ORGANIZATION CONTACT WAS AVAILABLE TO ANSWER ANY QUESTIONS AT EACH FOCUS GROUP. AT THE BEGINNING OF EACH FOCUS GROUP, THE PURPOSE OF THE FOCUS GROUP AND THE COMMUNITY ASSESSMENT WERE EXPLAINED, THE PARTICIPANTS WERE ASSURED THEIR RESPONSES WOULD NOT BE ATTRIBUTED TO THEM AS RESPONSES WOULD BE AGGREGATED. THE FOCUS GROUP DISCUSSIONS WERE VOICE RECORDED FOR EASE OF DOCUMENTING THE DISCUSSION.BEFORE BEGINNING THE DISCUSSION, THE FACILITATOR ASKED FOR ORAL CONSENT FROM EACH OF THE PARTICIPANTS THAT THEY WISHED TO PARTICIPATE IN THE FOCUS GROUP AND AGREED TO BE VOICE RECORDED. THE FOCUS GROUP PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES RELATED TO TOPICS WITHIN THE FOLLOWING AREAS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- SUGGESTIONS FOR ADDRESSING THE COMMUNITY ISSUES AND NEEDS.- OTHER COMMENTS OR CONCERNS.SURVEYSA SURVEY WAS PROVIDED TO SELECTED STAKEHOLDERS, REPRESENTING COMMUNITY ORGANIZATIONS, INCLUDING SCHOOLS AND NONPROFIT ORGANIZATIONS, WHO HAD NOT BEEN REACHED THROUGH AN INTERVIEW OR FOCUS GROUP. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT THROUGH A SURVEY MONKEY LINK. THE SURVEYS WERE COMPLETED FROM JANUARY 25 TO FEBRUARY 8, 2019. TWELVE (12) SURVEYS WERE COLLECTED. SURVEY QUESTIONS FOCUSED ON THE FOLLOWING TOPICS:- BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY.- ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS.- SPECIAL POPULATIONS OR GROUPS MOST AFFECTED BY A HEALTH NEED.- GAPS OR CHALLENGES TO ADDRESS THESE NEEDS.- RESOURCES AVAILABLE TO HELP ADDRESS THE NEEDS.FOR THE PURPOSES OF THE 2019 REPORT, THE ST. FRANCIS MEDICAL CENTER SERVICE AREA INCLUDES 17 ZIP CODES IN 11 CITIES/COMMUNITIES. THE SERVICE AREA IS LOCATED IN LA CITY COUNCIL DISTRICTS 8 AND 15 AND COMPRISES PORTIONS OF SERVICE PLANNING AREAS (SPAS) 6 AND 7."

ST. FRANCIS MEDICAL CENTER PART V, SECTION B, LINE 6A:
THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN PARTNERSHIP WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THIS PARTNERSHIP WAS ESTABLISHED BECAUSE THERE IS SIGNIFICANT OVERLAP IN THE SERVICE AREAS OF ST. FRANCIS MEDICAL CENTER WITH PIH HEALTH HOSPITAL - WHITTIER, PIH HEALTH HOSPITAL - DOWNEY, AND KAISER PERMANENTE DOWNEY REGIONAL MEDICAL CENTER. THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS ON JUNE 18, 2019.

PART I, LINE 7:
COSTING METHODOLOGYPRIOR TO CEASING TO OPERATE THE HOSPITALS, ST. FRANCIS MEDICAL CENTER UTILIZED A COST ACCOUNTING SYSTEM THAT DETERMINES COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES.

PART I, LINE 7G:
SUBSIDIZED SERVICESST. FRANCIS MEDICAL CENTER'S SUBSIDIZED SERVICES INCLUDE ITS EMERGENCY DEPARTMENT, WHICH WAS ONE OF THE BUSIEST PRIVATE EMERGENCY ROOMS IN LOS ANGELES COUNTY. THE EMERGENCY DEPARTMENT PLAYS A CRITICAL ROLE IN LA COUNTY'S EMERGENCY MEDICAL SERVICES.PART II: COMMUNITY BUILDING ACTIVITIESST. FRANCIS MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES ADDRESS SOME OF THE KEY ROOT CAUSES OF HEALTH ISSUES, INCLUDING EDUCATION AND JOB SKILLS TRAINING. THE HOSPITAL PROVIDED PROGRAMS THAT ADVANCE LEARNING AND WORKPLACE SKILLS, AND THAT INTRODUCE STUDENTS AND YOUTH TO JOBS THAT CAN LEAD TO FULFILLING CAREERS AND SELF-SUFFICIENCY. BY PROVIDING EDUCATION AND TRAINING OPPORTUNITIES, INDIVIDUALS WILL MORE LIKELY QUALIFY AND HAVE IMPROVED ACCESS TO GAINFUL WORK, AND MANY OF THE PROBLEMS RELATED TO UNEMPLOYMENT, SUCH AS HOMELESSNESS, LACK OF HEALTH INSURANCE, AND POVERTY, CAN BE PREVENTED. PROGRAMS ALSO HELP TO CULTIVATE A COMMUNITY SERVICE ORIENTATION IN STUDENTS AND YOUTH, THE FUTURE LEADERS WHO WILL BE THE HEALTH IMPROVEMENT ADVOCATES IN THE YEARS TO COME. IN ADDITION, ST. FRANCIS MEDICAL CENTER PARTICIPATES IN COLLABORATIVE PARTNERSHIPS WITH OTHER PUBLIC AND PRIVATE ORGANIZATIONS THAT ADVANCE HEALTH AND WELLNESS WITHIN THE COMMUNITY.

PART III, LINES 2, 3, AND 4: BAD DEBT EXPENSE
ST. FRANCIS MEDICAL CENTER IS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF VERITY HEALTH SYSTEM OF CALIFORNIA, INC., WHICH INCLUDE ENTITIES OTHER THAN THOSE INCLUDED IN THIS FILING.

PART III, LINE 2: METHODOLOGY TO ESTIMATE BAD DEBT EXPENSE
BAD DEBT EXPENSE WAS ESTIMATED BY UTILIZING HISTORICAL COLLECTIONS DATA OF SELF-PAY PATIENTS. IN MAKING THIS ESTIMATE, MANAGEMENT ALSO CONSIDERED BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA.PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER FAP METHODOLOGYTHE ESTIMATED AMOUNT OF ST. FRANCIS MEDICAL CENTER'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS UNDETERMINABLE AND THUS RECORDED AS ZERO.

PART III, LINE 4: BAD DEBT EXPENSE FOOTNOTE
"ON AUGUST 31, 2018, VERITY HEALTH SYSTEM OF CALIFORNIA, INC. (""VHS"") AND MOST OF ITS AFFILIATED COMPANIES, INCLUDING THE HOSPITAL, FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. THE BANKRUPTCY CASES ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA. ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. COURT FILINGS ARE AVAILABLE AT KCCLLC.NET/VERITYHEALTH.DUE TO THE CHAPTER 11 FILING, A FORMAL AUDIT WAS NOT COMPLETED FOR FISCAL YEAR 2018, 2019, 2020 OR 2021. INSTEAD, THE VHS ""MONTHLY OPERATING REPORTS"" REQUIRED BY THE U.S. TRUSTEE'S OFFICE CAN BE OBTAINED FROM KCCLLC.NET/VERITYHEALTH. PLEASE NOTE THAT THE FISCAL YEAR 2017 AUDIT FOOTNOTE REGARDING BAD DEBT FOR THE CONSOLIDATED FINANCIAL STATEMENTS REMAINS TRUE AND ACCURATE.UNDER VHS'S FINANCIAL ASSISTANCE POLICY, HEALTH CARE SERVICES WERE PROVIDED FREE OF CHARGE OR AT A SIGNIFICANT DISCOUNT BASED ON A SLIDING SCALE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA. VHS MADE AN EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE UPON ADMISSION. IF A PATIENT WAS DETERMINED TO QUALIFY FOR CHARITY CARE, SERVICES ARE RENDERED TO THE PATIENT FREE OF COST. THE COSTS OF PROVIDING THESE SERVICES ARE INCLUDED IN UNSPONSORED COMMUNITY BENEFIT EXPENSE AND INCLUDED AS A DEDUCTION TO NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. VHS ESTIMATED PRIOR TO CEASING TO OPERATE THE HOSPITALS, THE COST OF CHARITY CARE BY CALCULATING A RATIO OF COST TO USUAL AND CUSTOMARY CHARGES AND APPLYING THAT RATIO TO THE USUAL AND CUSTOMARY UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO PATIENTS THAT QUALIFY FOR CHARITY CARE.AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND THE APPLICATION OF FINANCIAL DISCOUNTS TO PATIENTS' BALANCES, AND AFTER EXHAUSTING ALL REASONABLE EFFORTS TO COLLECT FROM THE PATIENTS, A SIGNIFICANT PORTION OF VHS' UNINSURED AND SELF-PAY PATIENT ACCOUNTS WERE REFERRED TO THIRD-PARTY AGENCIES BASED ON VHS' ESTABLISHED GUIDELINES FOR FURTHER COLLECTION ACTIVITIES. AS A RESULT, VHS RECORDED A PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO THESE UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE RENDERED BASED ON HISTORICAL COLLECTION EXPERIENCE.AS PART OF VERITY HEALTH SYSTEM'S MISSION TO SERVE THE COMMUNITY, VHS PROVIDED CARE TO PATIENTS EVEN THOUGH THEY MAY HAVE LACKED ADEQUATE INSURANCE OR MAY HAVE PARTICIPATED IN PROGRAMS THAT DO NOT PAY FULL CHARGES. RESERVES FOR CHARITY CARE AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS. UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEETS.PART III, LINE 8: MEDICAREAS A NONPROFIT HOSPITAL, IT WAS OUR MISSION TO IMPROVE THE HEALTH STATUS OF ALL PEOPLE WITHIN OUR COMMUNITY AND PROVIDE HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THEIR INSURANCE STATUS. ST. FRANCIS MEDICAL CENTER ACCEPTED MEDICARE WHICH RESULTED IN SHORTFALLS IN THE COSTS FOR CARING FOR PATIENTS UTILIZING THIS PROGRAM. ST. FRANCIS MEDICAL CENTER UTILIZED AN ACCOUNTING SYSTEM THAT DETERMINED COSTS FOR PROVIDING MEDICAL SERVICES BASED ON THE HOSPITAL'S RELATIONSHIP OF COSTS TO CHARGES. THE ENTIRE SHORTFALL SHOWN ON PART III, LINE 7 IS REFLECTED AS A COMMUNITY BENEFIT.PART III, LINE 9B: COLLECTION POLICYST. FRANCIS MEDICAL CENTER FOLLOWED THE COLLECTION PRACTICES AS OUTLINED IN THE VERITY HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY AND BILLING COLLECTION POLICY.FOR PATIENTS WHO QUALIFIED FOR CHARITY CARE AND FINANCIAL DISCOUNT, ST. FRANCIS MEDICAL CENTER PROVIDED THE PATIENT WITH A WRITTEN NOTICE PRIOR TO COMMENCING COLLECTION ACTIVITIES. THE NOTICE STATED THAT NONPROFIT COUNSELING SERVICES MAY BE AVAILABLE IN THE AREA AND PROVIDED INFORMATION CONCERNING STATE AND FEDERAL LAW REQUIREMENTS FOR DEBT COLLECTORS. ST. FRANCIS MEDICAL CENTER DOES NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF BILLS AGAINST ANY HOUSEHOLD WHERE THE PRIMARY WAGE EARNER(S) IS UNEMPLOYED OR THERE ARE NOT SIGNIFICANT INCOME SOURCES. ST. FRANCIS MEDICAL CENTER DOES NOT ASSIGN PATIENTS MEETING AN AGREED UPON MONTHLY PAYMENT PLAN TO A COLLECTION AGENCY AND DOES NOT REPORT THE PATIENT TO CREDIT BUREAUS. ST. FRANCIS MEDICAL CENTER DOES NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT AGENCY OR COMMENCE CIVIL ACTION FOR NONPAYMENT OF A PATIENT DEBT PRIOR TO 150 DAYS AFTER THE INITIAL BILLING OF THE PATIENT. ST. FRANCIS MEDICAL CENTER DOES NOT USE WAGE GARNISHMENTS OR LIENS ON REAL PROPERTY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS FOR ELIGIBLE PATIENTS. ST. FRANCIS MEDICAL CENTER HAS AGREEMENTS WITH ITS EXTERNAL COLLECTION AGENCIES TO NOT PURSUE LEGAL ACTION AGAINST AN ELIGIBLE PATIENT WITHOUT PRIOR APPROVAL FROM ST. FRANCIS MEDICAL CENTER. ST. FRANCIS MEDICAL CENTER HAS AGREEMENTS WITH ITS EXTERNAL COLLECTION AGENCIES TO FOLLOW FAIR DEBT AND COLLECTION PRACTICES, ASSEMBLY BILL AB774 AND ACT IN A MANNER THAT TREATS INDIVIDUALS WITH DIGNITY, RESPECT AND COMPASSION."

PART VI, QUESTION 2: NEEDS ASSESSMENT
IN ADDITION TO IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS IN THE CHNA, ST. FRANCIS MEDICAL CENTER EVALUATED THE PROGRAMS AND ACTIVITIES IT HAD IMPLEMENTED IN RESPONSE TO COMMUNITY NEED THROUGH ITS COMMUNITY BENEFIT REPORT.ST. FRANCIS MEDICAL CENTER PREPARED AN ANNUAL COMMUNITY BENEFIT REPORT. IT HIGHLIGHTED THE COMMUNITY'S NEEDS AND ST. FRANCIS MEDICAL CENTER'S PROGRAMS AND ACTIVITIES THAT DIRECTLY RESPONDED TO THE NEEDS. REPORTS ON COMMUNITY BENEFIT ACTIVITIES AND OUTCOMES WERE PROVIDED BY MANAGER AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS. QUARTERLY REPORTS WERE PRESENTED TO THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS AND VERITY HEALTH SYSTEM CORPORATE OFFICERS. AN ANNUAL REPORT WAS PREPARED AND PRESENTED TO THE ST. FRANCIS MEDICAL CENTER BOARD OF DIRECTORS FOR APPROVAL.THE ANNUAL REPORT WAS MADE AVAILABLE ON THE HOSPITAL'S WEBSITE TO HOSPITAL LEADERSHIP, KEY STAKEHOLDERS, VHS, AND COMMUNITY ORGANIZATIONS AND MEMBERS. THE ANNUAL REPORT WAS PRESENTED TO THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT, IN ACCORDANCE WITH SB697.ST. FRANCIS MEDICAL CENTER'S COMMUNITY BENEFIT REPORT WAS DEVELOPED USING RESULTS FROM THE CHNA, DATA AND FEEDBACK PROVIDED BY THE MANAGERS AND DIRECTORS RESPONSIBLE FOR SPECIFIC COMMUNITY BENEFIT PROGRAMS, AND INPUT FROM THE HOSPITAL'S SENIOR MANAGEMENT TEAM. ST. FRANCIS MEDICAL CENTER'S BOARD OF DIRECTORS REVIEWED AND GAVE FINAL APPROVAL OF ST. FRANCIS MEDICAL CENTER'S COMMUNITY BENEFIT REPORT. CONTINUAL MONITORING AND EVALUATION OF ST. FRANCIS MEDICAL CENTER'S CURRENT COMMUNITY HEALTH INITIATIVES PROVIDE VITAL INFORMATION TO THE STRATEGIC PLANNING PROCESS FOR COMMUNITY BENEFIT PROGRAMS, WHILE ST. FRANCIS MEDICAL CENTER OPERATED THE HOSPITAL.PART VI, QUESTION 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS WHO PRESENTED AT ST. FRANCIS MEDICAL CENTER'S EMERGENCY DEPARTMENT AND ST. FRANCIS MEDICAL CENTER'S ADMITTING DEPARTMENT WERE PROVIDED WITH A FINANCIAL ASSISTANCE PACKET THAT CONSISTED OF AN INFORMATIONAL FLYER ON VARIOUS PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE, ALONG WITH THE CONTACT NUMBER FOR ST. FRANCIS MEDICAL CENTER'S HEALTH BENEFITS RESOURCE CENTER (HBRC). THE FLYER WAS IN ENGLISH AND SPANISH. THE PACKET INCLUDED A MEDI-CAL APPLICATION, AS WELL AS A CHARITY CARE APPLICATION. SHOULD THEY HAVE MADE AN APPOINTMENT WITH HBRC, PATIENTS COULD FILL OUT THE FORMS PRIOR TO THEIR APPOINTMENT.HBRC STAFF VISITED CASH/SELF-PAY PATIENTS AT BEDSIDE, SCREENED PATIENTS AND IDENTIFIED THE PROGRAMS FOR WHICH THEY WERE ELIGIBLE. IF THEY HAD NO LINKAGE, HBRC PROVIDED INFORMATION ABOUT OTHER PROGRAMS FOR WHICH THEY MAY HAVE QUALIFIED SUCH AS CHARITY CARE.IN ADDITION, WHILE ST. FRANCIS MEDICAL CENTER OPERTATED THE HOSPITAL THERE WERE SIGNS POSTED IN ENGLISH AND SPANISH IN THE PATIENT FINANCIAL SERVICES DEPARTMENT AND AT EVERY POINT OF REGISTRATION STATING THAT ST. FRANCIS MEDICAL CENTER HAD FINANCIAL ASSISTANCE AND CHARITABLE PROGRAMS AVAILABLE FOR QUALIFIED LOW INCOME, UNINSURED PATIENTS WHO MAY NOT HAVE THE ABILITY TO MEET THE FINANCIAL OBLIGATION OF THEIR HOSPITAL SERVICES AND A CONTACT NUMBER TO CALL. AFTER DISCHARGE, THE BACK OF THE MONTHLY PATIENT BILLS INCLUDED THIS SAME STATEMENT.

PART VI, QUESTION 4: COMMUNITY INFORMATION
ST. FRANCIS MEDICAL CENTER PROVIDES QUALITY MEDICAL CARE, EDUCATIONAL PROGRAMS AND SUPPORT SERVICES TO THE 1,000,000 RESIDENTS OF COMMUNITIES IN SOUTHEAST LOS ANGELES COUNTY INCLUDING LYNWOOD, SOUTH GATE, DOWNEY, HUNTINGTON PARK, BELL, CUDAHY, PARAMOUNT, BELL GARDENS, MAYWOOD, COMPTON, AND SOUTH AND SOUTHEAST SECTIONS OF LOS ANGELES. THE LARGEST AGE GROUP IS 25-34 YEARS OLD (15.2%) FOLLOWED BY AGE 35-44 (13.7%). HISPANICS COMPRISE THE LARGEST ETHNIC GROUP (80.9%), FOLLOWED BY BLACK/AFRICAN AMERICAN (13.4%), AND WHITE (3.4%). 44.3% OF THE PRIMARY SERVICE AREA DID NOT COMPLETE HIGH SCHOOL. ST. FRANCIS MEDICAL CENTER SERVES A SIGNIFICANTLY HIGHER NUMBER OF MEDICALLY INDIGENT PATIENTS THAN THE AVERAGE HEALTH CARE FACILITY. IT IS RECOGNIZED AS A DISPROPORTIONATE SHARE HOSPITAL DUE TO THE NUMBER OF LOW-INCOME PATIENTS FOR WHICH IT PROVIDES CARE AND TREATMENT. THE WEIGHTED AVERAGE OF THE MEDIAN HOUSEHOLD INCOME IN ST. FRANCIS MEDICAL CENTER'S SERVICE AREA IS $42,060. ALTHOUGH THE 2020 FEDERAL POVERTY GUIDELINE FOR A FAMILY OF FOUR IS $25,750, ACCORDING TO THE COVERED CALIFORNIA INCOME GUIDELINE, A FAMILY OF FOUR EARNING LESS THAN $97,200 PER YEAR QUALIFIES FOR GOVERNMENT ASSISTANCE. 78.95% OF ST. FRANCIS MEDICAL CENTER'S REIMBURSEMENTS FOR SERVICE ARE DERIVED FROM MEDI-CAL AND MEDICARE. HEALTH INSURANCE COVERAGE IS A KEY COMPONENT TO ACCESSING HEALTH CARE. BARRIERS TO CARE CAN RESULT IN UNMET HEALTH NEEDS, DELAYS IN PROVISION OF APPROPRIATE TREATMENT, AND INCREASED COSTS FROM AVOIDABLE ER VISITS AND HOSPITALIZATIONS. THE HEALTHY PEOPLE 2020 OBJECTIVE IS FOR 100% INSURANCE COVERAGE FOR ALL POPULATION GROUPS. AMONG SERVICE AREA CHILDREN, AGES 0 TO 17, 96.9% ARE INSURED. 85.2% OF AREA ADULTS HAVE INSURANCE. IN THE SERVICE AREA, 80.8% OF THE TOTAL POPULATION HAS HEALTH INSURANCE. DOWNEY 90242 HAS THE HIGHEST RATE OF HEALTH INSURANCE COVERAGE (87.2%) AND LOS ANGELES 90003 HAS THE LOWEST RATE OF HEALTH INSURANCE COVERAGE (78.2%) IN THE SERVICE AREA, FOLLOWED BY MAYWOOD (78.5%) AND HUNTINGTON PARK (78.6%). HEALTH CARE COVERAGE IS HIGHER AMONG SERVICE AREA CHILDREN, 0 TO 18, (92.5%). DOWNEY 90241 HAS THE LOWEST RATE OF HEALTH INSURANCE COVERAGE FOR CHILDREN (88.3%) IN THE SERVICE AREA. 72.8% OF ADULTS, AGES 19-64, IN THE SERVICE AREA HAVE HEALTH INSURANCE COVERAGE, WITH THE LOWEST LEVEL FOUND IN MAYWOOD (67.7%), FOLLOWED BY LOS ANGELES 90003 (68.4%) AND HUNTINGTON PARK (68.6%).

PART VI, QUESTION 7: STATE FILING OF COMMUNITY BENEFIT REPORT
THE COMMUNITY BENEFIT REPORT IS TYPICALLY FILED WITH THE STATE OF CALIFORNIA. THE ORGANIZATION LAST FILED THE COMMUNITY BENEFIT REPORT IN FISCAL YEAR 2019.

PART VI, QUESTION 5: PROMOTING THE HEALTH OF THE COMMUNITY
WHILE OPERATING, ST. FRANCIS MEDICAL CENTER WAS THE ONLY COMPREHENSIVE, NON-PROFIT HEALTH CARE INSTITUTION SERVING THE ONE MILLION RESIDENTS OF SOUTHEAST LOS ANGELES. A 384-BED FACILITY, ST. FRANCIS MEDICAL CENTER OFFERED A FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES PROVIDED BY MORE THAN 2,000 ASSOCIATES AND 450 AFFILIATED PHYSICIANS. ST. FRANCIS MEDICAL CENTER OPERATED ONE OF THE LARGEST AND BUSIEST PRIVATE EMERGENCY TRAUMA CENTERS IN LOS ANGELES COUNTY. THE HOSPITAL'S HEART AND VASCULAR CENTER, MATERNAL-CHILD HEALTH PROGRAM, ORTHOPEDICS/JOINT REPLACEMENT PROGRAM, IMAGING SERVICES, BEHAVIORAL HEALTH AND WOUND CARE FACILITIES OFFERED COMPREHENSIVE SERVICES TO THE COMMUNITY. THE PRIMARY STROKE CARE CENTER AND STEMI RECEIVING CENTER, BOTH APPROVED BY THE LOS ANGELES COUNTY EMERGENCY MEDICAL SERVICES AGENCY, FILLED A MAJOR GAP IN SOUTHEAST LOS ANGELES. IN ADDITION TO ITS ACUTE AND OUTPATIENT HEALTH CARE SERVICES, ST. FRANCIS MEDICAL CENTER OPERATED A BROAD RANGE OF EDUCATIONAL AND COMMUNITY SERVICE PROGRAMS. ST. FRANCIS MEDICAL CENTER WAS DEDICATED TO NURTURING HEALTHY CHILDREN AND FAMILIES, FOSTERING SELF-SUFFICIENCY, ENHANCING INDIVIDUAL AND COMMUNITY WELL-BEING, AND ACHIEVING EXCELLENCE IN FACILITIES AND TECHNOLOGY. ST. FRANCIS MEDICAL CENTER'S ULTIMATE GOAL WAS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY.ST. FRANCIS MEDICAL CENTER PROVIDED HOSPITAL, MEDICAL, AND SURGICAL CARE TO MEMBERS OF THE PUBLIC WITHOUT REGARD TO AGE, RACE, COLOR, RELIGION, ANCESTRY, NATIONAL ORIGIN, DISABILITY, MEDICAL CONDITION, GENETIC INFORMATION, MARITAL STATUS, SEX, GENDER, GENDER IDENTITY, GENDER EXPRESSION, SEXUAL ORIENTATION, CITIZENSHIP, PRIMARY LANGUAGE, IMMIGRATION STATUS, OR TO THE INDIVIDUAL'S ABILITY TO PAY. ST. FRANCIS MEDICAL CENTER OPERATED A FULL-TIME EMERGENCY DEPARTMENT. EMERGENCY MEDICAL SERVICES WERE AVAILABLE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. ST. FRANCIS MEDICAL CENTER OPERATED ONE OF THE BUSIEST EMERGENCY DEPARTMENTS IN SOUTHERN CALIFORNIA. IN 1996, IN RESPONSE TO A DRAMATIC LACK OF TRAUMA SERVICES IN SOUTHEAST LOS ANGELES, ST. FRANCIS MEDICAL CENTER ESTABLISHED ITS TRAUMA CENTER. THE LEVEL II TRAUMA CENTER IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS. ST. FRANCIS MEDICAL CENTER HAD AN OPEN MEDICAL STAFF AND PROVIDED STAFF PRIVILEGES IN THE MEDICAL CENTER TO COMMUNITY PRACTITIONERS. BOARD PARTICIPATION:IN FISCAL YEAR 2020, ST. FRANCIS MEDICAL CENTER'S BOARD OF DIRECTORS WAS COMPRISED OF MEMBERS WITH FINANCIAL, LEGAL, BUSINESS, AND HEALTH CARE BACKGROUNDS WHO UNDERSTAND THE VISION AND VALUES OF ST. FRANCIS MEDICAL CENTER, AS WELL AS THE NEEDS OF THE COMMUNITY AND THE RESOURCES REQUIRED TO MEET THOSE NEEDS. ST. FRANCIS MEDICAL CENTER WAS ALSO REPRESENTED ON BOARDS AND COALITIONS OF COMMUNITY AGENCIES AND ORGANIZATIONS. THROUGH THE ONGOING COLLABORATION OF ST. FRANCIS MEDICAL CENTER WITH ORGANIZATIONS WHICH SHARED A COMMITMENT TO MEETING THE COMMUNITY'S HEALTH CARE NEEDS AND TO ADDRESSING THE ISSUES THAT AFFECT OVERALL HEALTH AND WELL-BEING, RESOURCES WERE STRENGTHENED AND BEST PRACTICES WERE OPTIMIZED, RESULTING IN OUTREACH PROGRAMS WITH THE GREATEST POSITIVE IMPACT. ST. FRANCIS MEDICAL CENTER REINVESTED ITS SURPLUS FUNDS IN CAPITAL REPLACEMENT OR EXPANSION OF FACILITIES AND EQUIPMENT, DEBT AMORTIZATION, IMPROVEMENT IN PATIENT CARE AND SERVICES, AND OTHER COMMUNITY BENEFIT SERVICES INCLUDING CHARITY CARE.ST. FRANCIS MEDICAL CENTER WAS COMMITTED TO SERVING THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, RESPECTING THE DIGNITY OF EACH PATIENT, AND MEETING THE HEALTH CARE NEEDS OF THE WHOLE PERSON - BODY, MIND, AND SPIRIT.COMMUNITY BUILDING ACTIVITIES:ST. FRANCIS MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES ADDRESSED SOME OF THE KEY ROOT CAUSES OF HEALTH ISSUES, INCLUDING EDUCATION AND JOB SKILLS TRAINING. THE HOSPITAL PROVIDED PROGRAMS THAT ADVANCE LEARNING AND WORKPLACE SKILLS, AND THAT INTRODUCED STUDENTS AND YOUTH TO JOBS THAT COULD LEAD TO FULFILLING CAREERS AND SELF-SUFFICIENCY. BY PROVIDING EDUCATION AND TRAINING OPPORTUNITIES, INDIVIDUALS WOULD LIKELY QUALIFY AND HAVE IMPROVED ACCESS TO GAINFUL WORK, AND MANY OF THE PROBLEMS RELATED TO UNEMPLOYMENT, SUCH AS HOMELESSNESS, LACK OF HEALTH INSURANCE, AND POVERTY, CAN BE PREVENTED. PROGRAMS ALSO HELPED TO CULTIVATE A COMMUNITY SERVICE ORIENTATION IN STUDENTS AND YOUTH, THE FUTURE LEADERS WHO WILL BE THE HEALTH IMPROVEMENT ADVOCATES IN THE YEARS TO COME. IN ADDITION, ST. FRANCIS MEDICAL CENTER PARTICIPATED IN COLLABORATIVE PARTNERSHIPS WITH OTHER PUBLIC AND PRIVATE ORGANIZATIONS THAT ADVANCE HEALTH AND WELLNESS WITHIN THE COMMUNITY.VOLUNTEER SERVICES:THE VOLUNTEER SERVICES PROGRAM DELIVERED ORIENTATION, TRAINING AND SUPERVISION TO VOLUNTEERS WHO SUPPORT ST. FRANCIS MEDICAL CENTER'S DAY-TO-DAY OPERATIONS. WITH A FOCUS ON IMPARTING AND IMPROVING THE CUSTOMER AND SUPPORT SERVICE SKILLS OF STUDENT AND ADULT VOLUNTEERS, THE PROGRAM ENHANCED SERVICE DELIVERY TO PATIENTS, PATIENTS' FAMILIES, VISITORS, AND ST. FRANCIS MEDICAL CENTER EMPLOYEES. THE PROGRAM ALSO INTRODUCED STUDENT VOLUNTEERS TO POSSIBLE FUTURE HEALTH CARE CAREERS AND PROVIDED JOB SKILLS TRAINING OPPORTUNITIES. SENIOR VOLUNTEERS WERE PROVIDED WITH OPPORTUNITIES TO CONTRIBUTE THEIR SKILLS AND EXPERIENCE IN VARIOUS DEPARTMENTS, WHICH SUPPORTED THEIR MENTAL, EMOTIONAL AND SPIRITUAL HEALTH.COLLABORATIVE PARTNERS INCLUDED - LOCAL COLLEGES AND HIGH SCHOOLS; HUB CITIES CONSOTIUM; ARCHDIOCESE YOUTH EMPLOYEMENT SERVICES; LYNWOOD UNIFIED SCHOOL DISTRICT; AND ELEVATE YOUR G.A.M.E. COMMUNITY BENEFIT PLANNING AND REPORTING:COMMUNITY BENEFIT PLANNING AND REPORTING INCLUDED STAFF AND TIME DEDICATED TO PLANNING AND REPORTING THE HOSPITAL'S COMMUNITY BENEFIT PROGRAMS AND TO FACILITATING THE TRIENNIAL CHNA. COMMUNITY BENEFIT PROGRAM DIRECTORS AND MARKETING AND COMMUNICATIONS STAFF TRACKED COMMUNITY BENEFIT PROGRAM DATA TO EVALUATE AND SUPPORT THE DEVELOPMENT OF COMMUNITY BENEFIT PROGRAMS. THE ST. FRANCIS MEDICAL CENTER FOUNDATION SUPPORTED COMMUNITY BENEFIT PROGRAMS AND SERVICES OFFERED BY ST. FRANCIS MEDICAL CENTER THROUGH GRANT APPLICATIONS AND THE MANAGEMENT OF GRANTS AND DONATIONS. NO ADDITIONAL FOUNDATION SPONSORED FUND-RAISING ACTIVITIES WERE PLANNED OR CONDUCTED DURING THE YEAR DUE TO THE BANKRUPTCY FILING.

PART VI, QUESTION 6: AFFILIATED HEALTHCARE SYSTEM
"VERITY HEALTH SYSTEM OF CALIFORNIA, INC., (""VHS""), IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, AND IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS THAT OPERATED SIX ACUTE CARE HOSPITALS: O'CONNOR HOSPITAL, SAINT LOUISE REGIONAL HOSPITAL, ST. FRANCIS MEDICAL CENTER, ST. VINCENT MEDICAL CENTER, AND SETON MEDICAL CENTER (INCLUDING THE SETON MEDICAL CENTER COASTSIDE CAMPUS) (COLLECTIVELY, THE ""HOSPITALS"") AND OTHER FACILITIES IN THE STATE OF CALIFORNIA. SETON MEDICAL CENTER AND SETON MEDICAL CENTER COASTSIDE OPERATE UNDER ONE CONSOLIDATED ACUTE CARE LICENSE. THE ASSETS OF O'CONNOR HOSPITAL AND ST. LOUISE REGIONAL HOSPITAL WERE SOLD TO SANTA CLARA COUNTY ON FEBRUARY 28, 2019.AFTER FY2020 THE ASSETS OF ST. FRANCIS MEDICAL CENTER WERE SOLD TO PRIME HEALTHCARE AND SETON MEDICAL CENTER AND SETON COASTSIDE TO AHMC HEALTHCARE INC.ON AUGUST 31, 2018, VHS AND THE HOSPITALS (ALONG WITH OTHER VHS-AFFILIATED ENTITIES) EACH FILED VOLUNTARY PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE (THE ""BANKRUPTCY CODE""). THE CASES (COLLECTIVELY, THE ""BANKRUPTCY CASES"") ARE JOINTLY ADMINISTERED UNDER CASE NO. 18-20151 IN THE UNITED STATES BANKRUPTCY COURT FOR THE CENTRAL DISTRICT OF CALIFORNIA (THE ""BANKRUPTCY COURT""). ON SEPTEMBER 4, 2020, THE EFFECTIVE DATE OF THE PLAN OF LIQUIDATION OCCURRED AND THE PLAN WAS SUBSTANTIALLY CONSUMMATED. ALL CONDITIONS PRECEDENT TO THE EFFECTIVE DATE OF THE PLAN SET FORTH IN SECTION 12.2 OF THE PLAN HAVE EITHER BEEN SATISFIED OR WAIVED IN ACCORDANCE WITH THE PLAN AND THE CONFIRMATION ORDER. FOR ALL BANKRUPTCY CASE FILINGS AND MORE DETAIL REGARDING VHS, PLEASE SEE KCCLLC.NET/VERITYHEALTH AND THE DECLARATION OF RICHARD G. ADCOCK IN SUPPORT OF EMERGENCY FIRST-DAY MOTIONS [DOCKET NOS. 8 AND 12].THE HOSPITALS WERE ORIGINALLY SPONSORED BY THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, PROVINCE OF THE WEST (THE ""DAUGHTERS OF CHARITY""), TO SUPPORT THE MISSION OF THE CATHOLIC CHURCH THROUGH A COMMITMENT TO THE SICK AND POOR. THE DAUGHTERS OF CHARITY BEGAN THEIR HEALTHCARE MISSION IN CALIFORNIA IN 1858 WITH THE OPENING OF LOS ANGELES INFIRMARY, SUBSEQUENTLY KNOWN AS ST. VINCENT MEDICAL CENTER. THE DAUGHTERS OF CHARITY EXPANDED ITS HOSPITALS TO SAN JOSE IN 1889 AND SAN FRANCISCO IN 1893. THE DAUGHTERS OF CHARITY MINISTERED TO ILL, POVERTY-STRICKEN INDIVIDUALS FOR MORE THAN 150 YEARS. IN MARCH 1995, THE DAUGHTERS OF CHARITY MERGED THEIR HOSPITALS WITH CATHOLIC HEALTHCARE WEST (""CHW""). IN JUNE 2001, THE DAUGHTERS OF CHARITY HEALTH SYSTEM (""DCHS"") WAS FORMED. IN OCTOBER 2001, THE DAUGHTERS OF CHARITY WITHDREW FROM CHW. IN 2002, DCHS COMMENCED OPERATIONS AND WAS THE SOLE CORPORATE MEMBER OF THE HOSPITALS, WHICH AT THAT TIME WERE CALIFORNIA NONPROFIT RELIGIOUS CORPORATIONS.IN JULY 2015, THE DCHS BOARD OF DIRECTORS SELECTED BLUEMOUNTAIN CAPITAL MANAGEMENT LLC (""BLUEMOUNTAIN""), A PRIVATE INVESTMENT FIRM, TO RECAPITALIZE THE HOSPITAL OPERATIONS. THE PARTIES ENTERED INTO A SYSTEM RESTRUCTURING AND SUPPORT AGREEMENT, DCHS'S NAME WAS CHANGED TO ""VERITY HEALTH SYSTEM, AND BLUEMOUNTAIN FORMED INTEGRITY HEALTHCARE, LLC (""INTEGRITY"") TO PROVIDE MANAGEMENT SERVICES UNDER A NEW MANAGEMENT SERVICES AGREEMENT, WHICH WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL CHARITABLE TRUST DIVISION. IN JULY 2017, NANTWORKS, LLC ACQUIRED A CONTROLLING INTEREST IN INTEGRITY.THROUGHOUT THEIR HISTORY AND CONTINUING THROUGH AUGUST 13,2020, THE HOSPITALS CONTINUED THE RICH TRADITION OF SERVING THE UNDER-SERVED AND PROVIDING ESSENTIAL HEALTH CARE SERVICES TO THEIR COMMUNITIES. THESE EXPANSIVE SERVICES ARE DETAILED IN MULTIPLE SECTIONS OF THIS FORM 990."