4A (Expenses $ 50068579 including grants of $ 0) (Revenue $ 47468705)
MEE MEMORIAL HEALTHCARE SYSTEM OPERATES A 25 ACUTE CARE BED AND 48 SKILLED NURSING BED LICENSED FACILITY THAT PROVIDES COMPREHENSIVE MEDICAL CARE TO THE LOCAL COMMUNITY AND OUTLYING AREAS WITHIN A 50-MILE RADIUS; IN ADDITION, MEE MEMORIAL HAS A NETWORK OF FOUR CLINICS TO SERVE ITS CLIENTELE, THREE IN KING CITY AND ONE IN GREENFIELD. THE HOSPITAL BECAME A CRITICAL ACCESS HOSPITAL AS OF JUNE 25TH, 2020. TYPES OF CARE OFFERED INCLUDE ACUTE, LONG-TERM, AND RURAL HEALTH CLINIC SERVICES. OVER THE SEPTEMBER 30, 2020 FISCAL YEAR, TOTAL PATIENT DAYS WERE 14,383. THE EMERGENCY SERVICE DEPARTMENT HAD 11,054 VISITS AND OTHER HOSPITAL SERVICES HAD 23,625 OTHER OUTPATIENT VISITS DURING THE FISCAL YEAR. THE CLINICS RECEIVED 52,665 VISITS IN ADDITION TO HOSPITAL SERVICES.

GEORGE L. MEE MEMORIAL HOSPITAL
PART V, SECTION B, LINE 5: THE HOSPITAL CONDUCTED PRIMARY DATA GATHERING REGARDING THE HEALTH NEEDS OF THE COMMUNITY VIA AN INTERNET SURVEY OF APPROXIMATELY 50 COMMUNITY AND PUBLIC HEALTH REPRESENTATIVES. ONLINE SURVEY INVITATIONS WERE EXTENDED PARTICIPANTS, WITH TWO REMINDERS SENT THEREAFTER. OF THE APPROXIMATELY 50 COMMUNITY AND PUBLIC HEALTH REPRESENTATIVES IDENTIFIES, THERE WERE 39 SURVEY RESPONDENTS DURING THE 14-DAY SURVEY PERIOD.

GEORGE L. MEE MEMORIAL HOSPITAL
"PART V, SECTION B, LINE 11: BASED ON STAKEHOLDER SURVEY FINDINGS, HEALTH INDICATOR DATA, AND INPUT FROM MEDICAL STAFF AND COMMUNITY LEADERS, NINE COMMUNITY HEALTH NEEDS EMERGED: (I) ACCESS TO PRIMARY CARE; (II) ACCESS TO SPECIALTY CARE; (III) AVAILABILITY OF URGENT/AFTER-HOURS CARE; (IV) ACCESS TO MENTAL HEALTH SERVICES; (V) AVAILABILITY OF SUBSTANCE ABUSE PREVENTION AND TREATMENT SERVICES; (VI) AVAILABILITY OF PRESCRIPTION DRUGS; (VII) TRANSPORTATION TO/FROM MEDICAL SERVICES; (VIII) SERVICES AND OUTREACH TO VULNERABLE POPULATIONS (E.G. SENIORS, DISABLED, HOMELESS, LGBTQ; AND (IX) PATIENT EDUCATION/COUNSELING RELATED TO MEDICAL CONDITIONS.THE IRS REQUIRES THAT HOSPITAL LEADERS DEVELOP CRITERIA FOR PRIORITIZING THE ISSUES THAT ARE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL ESTABLISHED THE FOLLOWING CRITERIA FOR EVALUATING NEEDS: DOES THE ISSUE ALIGN WITH MMH'S MISSION AND EXPERTISE; DOES THE ISSUE IMPACT A LARGE NUMBER OF PEOPLE; ARE THERE COLLABORATORS THAT WOULD COMMIT TO WORKING WITH MMH TO ADDRESS THE ISSUE; DOES THE ISSUE PROVIDE AN OPPORTUNITY TO REDUCE HEALTH DISPARITIES AMONG SUBGROUPS OF THE POPULATION; ARE THERE GAPS IN CURRENT SERVICES AND PROGRAMS RELATED TO THE ISSUE; WOULD SOLVING THIS PARTICULAR ISSUE HELP TO ADDRESS OTHER HEALTH NEEDS; DO KEY STAKEHOLDERS PERCEIVE THIS TO BE AN IMPORTANT HEALTH ISSUE; AND WOULD THERE BE NEGATIVE CONSEQUENCES IF MMMH DOES NOT WORK TO ADDRESS THE ISSUE? EACH OF THE ABOVE-MENTIONED CRITERIA WAS SCORED BY HOSPITAL LEADERS. BASED OFF THAT SCORING, THE HOSPITAL DETERMINED IT WILL HELP TO ADDRESS THREE HIGH PRIORITY COMMUNITY HEALTH NEEDS: ACCESS TO PRIMARY CARE; PATIENT EDUCATION/COUNSELING RELATED TO MEDICAL CONDITIONS OR HEALTH BEHAVIORS; AND ACCESS TO SPECIALTY CARE.SPECIFIC TACTICS AND RESOURCES IDENTIFIED TO ADDRESS THE HEALTH NEED OF ""ACCESS TO PRIMARY CARE"" INCLUDES: (I) RECRUITMENT OF NEW PRIMARY CARE PHYSICIANS; (II) IMPLEMENT TELEMEDICINE AND VIRTUAL PROGRAMS; AND (III) RETAIN PROVIDERS BY (A) MAINTAINING A CULTURE THAT ASSURES MMH IS SUPPORTIVE, ACCOUNTABLE, COLLABORATIVE, AND ACCESSIBLE, (B) PROVIDING THE INFRASTRUCTURE AND CONTINUE TO IMPLEMENT LEAN CULTURE TO MITIGATE BARRIERS THAT IMPACT PHYSICIANS' PRODUCTIVITY AND PATIENT ACCESS, AND (C) EVALUATE RECRUITMENT AND COMPENSATION PRACTICES CONTINUOUSLY TO ENSURE MMH REMAINS A COMPETITIVE EMPLOYER. OUTCOMES WILL BE EVALUATED BY THE NUMBER OF NET ADDITIONAL PRIMARY CARE PROVIDERS, THE PERCENTAGE OF PATIENTS WHO SAW THEIR PRIMARY CARE PROVIDER IN THE LAST YEAR, WAIT TIMES FOR NEW APPOINTMENTS, AND PROVIDER SATISFACTION AND PROVIDER PRODUCTIVITY.SPECIFIC TACTICS AND RESOURCES IDENTIFIED TO ADDRESS THE HEALTH NEED OF ""ACCESS TO SPECIALTY CARE"" INCLUDE: (I) RECRUITMENT OF NEW SPECIALTY CARE PROVIDERS; (II) IMPROVEMENT OF THE AVAILABILITY OF SPECIALTY CARE; (III) IMPLEMENTATION OF THE TELEMEDICINE AND VIRTUAL PROGRAMS; AND (IV) IMPROVING ACCESS TO CARE. OUTCOMES WILL BE EVALUATED BY THE NUMBER OF NET ADDITIONAL SPECIALTY CARE PROVIDERS, REFERRAL WAIT TIMES FOR APPOINTMENTS (IN ALL PAYER CLASSES), THE IMPLEMENTATION OF A GI PROGRAM, THE IMPLEMENTATION OF AN ORTHOPEDIC PROGRAM, THE IMPLEMENTATION OF AN OPHTHALMOLOGY / OPTOMETRY / OPTICAL PROGRAM, THE IMPLEMENTATION OF A TELEMEDICINE-DERMATOLOGY PROGRAM, AND THE EXPANSION OF OBSTETRIC SERVICES.SPECIFIC TACTICS AND RESOURCES IDENTIFIED TO ADDRESS THE HEALTH NEED OF ""ACCESS TO MENTAL HEALTH SERVICES"" (WHICH WASN'T SPECIFICALLY IDENTIFIED AS PRIORITIZED HEALTH NEED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, BUT IS STILL BEING ADDRESSED) INCLUDE: (I) INTEGRATION OF MENTAL HEALTH SERVICES INTO CLINICS AND COMMUNITY SERVICES; (II) INCREASE AWARENESS AND EDUCATION ABOUT THE DAY TO DAY MENTAL HEALTH CHALLENGES SUCH AS STRESS, ANXIETY, DEPRESSION, ETC.; (III) RECRUIT MORE PROVIDERS TO INCREASE ACCESS; (IV) RESEARCH EXISTING MENTAL HEALTH CRISIS LINES AND FORM PARTNERSHIPS TO PROMOTE TO THE COMMUNITY; AND (V) IMPROVE EARLY INTERVENTION. OUTCOMES WILL BE EVALUATED BY THE ESTABLISHMENT OF MENTAL HEALTH IN PRIMARY CARE AND/OR OTHER SERVICE LINES TO HELP IDENTIFY MENTAL HEALTH ISSUES AT AN EARLY STAGE, WAIT TIMES FOR FIRST APPOINTMENT TARGETS (5 BUSINESS DAYS FOR URGENT NEED AND 30 DAYS FOR A ROUTINE NEED), IMPLEMENTATION OF A PEDIATRIC BEHAVIORAL DEVELOPMENT SPECIALTY PROGRAM, IMPLEMENTATION OF PSYCHOLOGY SERVICES, AND PATIENT SATISFACTION.SPECIFIC TACTICS AND RESOURCES IDENTIFIED TO ADDRESS THE HEALTH NEED OF ""PATIENT EDUCATION / COUNSELING RELATED TO MEDICAL CONDITIONS OR HEALTH BEHAVIORS"" INCLUDE: (I) EXPAND HOSPITAL AND CLINIC PREVENTION CLASSES; (II) ESTABLISH A DIABETES PREVENTION PROGRAM, WHICH FOLLOWS PATIENTS OVER TIME; (III) CONDUCT REVIEWS OF AGRICULTURAL SITE CLINICS; AND (IV) ENGAGE IN REVIEWING TOPICS WITH REGISTERED DIETICIANS, RESPIRATORY THERAPISTS, AND PHARMACISTS. OUTCOMES WILL BE EVALUATED BY THE LIST OF CURRICULA PROVIDED ON THESE VARIOUS TOPICS, THE NUMBER OF ATTENDEES AND COMPLETED REVIEWS OF AGRICULTURAL SITE CLINICS, THE NUMBER OF EVENTS HOSTED AND COMMUNITY RESIDENTS REACHED, THE NUMBER OF PEOPLE ENROLLED IN THE DIABETES PREVENTION PROGRAM, AND THE NUMBER OF PEOPLE WHO COMPLETED THE DIABETES PREVENTION PROGRAM.THE FOLLOWING SEVEN ADDITIONAL HEALTH NEEDS IDENTIFIED BY COMMUNITY PARTICIPANTS DURING THE CHNA PROCESS WILL NOT BE ACTIVELY ADDRESSED BY MMH DUE TO RESOURCE CONSTRAINTS AND/OR LACK OF EXPERTISE: (I) ALTERNATIVE MEDICINE; (II) CHIROPRACTIC CARE; (III) ASSISTED LIVING; (IV) ALZHEIMER'S/DEMENTIA CARE: (V) TEEN PREGNANCY PREVENTION; (VI) CHRONIC PAIN CARE (OTHER THAN INCREASING AWARENESS OF CURRENT SERVICES; AND (VII) CANCER CARE (OTHER THAN FACILITATING PATIENT REFERRALS TO AND COORDINATING CARE WITH CANCER TREATMENT PROVIDERS)."

PART I, LINE 7:
A COST TO CHARGE RATIO WAS USED TO CALCULATE THE COMMUNITY BENEFIT EXPENSE ON PART I, LINE 7B.

PART III, LINE 2:
THE ORGANIZATION RECORDS ACCOUNTS SENT TO COLLECTIONS AS A BAD DEBT AND ALSO ACCRUES BAD DEBT EXPENSE BASED ON AN ESTIMATE FROM AGED ACCOUNTS RECEIVABLE.

PART III, LINE 3:
"THE METHODOLOGY TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS AS FOLLOWS: A ""PRESUMPTIVE CHARITY"" CALCULATION WAS UTILIZED TO REFLECT THE PERCENTAGE (40%) OF THE HOSPITAL SERVICE AREA THAT WAS BELOW 200% OF THE FEDERAL POVERTY GUIDELINE. THE SOURCE OF THIS WAS INFORMATION COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE ORGANIZATION HAS LIMITED MEANS TO STAFF A CHARITY FUNCTION AND IT IS PRESUMED THE MEANS TEST WOULD BE MET BASED ON POPULATION DEMOGRAPHICS."

PART III, LINE 4:
"THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES ""BAD DEBT EXPENSE"", ""ACCOUNTS RECEIVABLE"", AND ""ALLOWANCE FOR DOUBTFUL ACCOUNTS"" CAN BE FOUND ON PAGES 7 - 8 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990."

PART III, LINE 8:
THE SHORTFALL IN SCHEDULE H, PART III, LINE 7 REPRESENTS THE UNFUNDED COSTS FOR DIRECT PATIENT CARE, WHICH SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED TO CALCULATE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS IS A RATIO OF PATIENT COSTS TO CHARGES.

PART III, LINE 9B:
"COLLECTION PRACTICES FOR QUALIFIED PATIENTS:IT IS THE POLICY OF MEE MEMORIAL HEALTHCARE SYSTEM TO PROVIDE EXCELLENT CUSTOMER SERVICE TO ALL PATIENTS, AND ASSIST ALL UNINSURED PATIENTS WITH OBTAINING COVERAGE FROM GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE, MEDI-CAL, AND CENTRAL COAST ALLIANCE FOR HEALTH, AND HEALTHY FAMILIES. IF SUCH COVERAGE IS NOT AVAILABLE TO THE PATIENT, THE HOSPITAL WILL PROVIDE APPROPRIATE HEALTHCARE TO THE PATIENT, AND THE HOSPITAL WILL PROVIDE FINANCIAL ASSISTANCE BASED ON THE CURRENT FEDERAL POVERTY LEVEL, AND PER THE HOSPITAL'S POLICY, IN ACCORDANCE WITH CALIFORNIA STATE LAW, EMTALA, AND MEDICARE REGULATIONS. FURTHER, SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON INCOME WILL BE PROVIDED WITH SEVERAL OPTIONS FOR PAYMENT OF THEIR BILLS. IT IS THE HOSPITAL'S POLICY TO:- ASSIST ALL UNINSURED PATIENT WITH OBTAINING COVERAGE FROM GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, AND HEALTHY FAMILIES.- PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT NO COST TO ELIGIBLE PATIENTS WHOSE FAMILY'S INCOME IS BELOW 100% OF THE CURRENT FEDERAL POVERTY LEVEL.- PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT A 50% DISCOUNT TO ELIGIBLE PATIENTS WHOSE FAMILY'S INCOME IS BETWEEN 101% AND 133% OF THE CURRENT FEDERAL POVERTY LEVEL. FOR THE SERVICES PROVIDED TO A PATIENT MEETING THESE CRITERIA, EXPECTED PAYMENT SHALL NOT EXCEED THE GREATER OF THE AMOUNT THAT WOULD BE EXPECTED FROM MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, OR HEALTHY FAMILIES FOR THE SAME SERVICES.- PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT A 35% DISCOUNT TO ELIGIBLE PATIENTS BETWEEN 133% AND 200% OF THE CURRENT FEDERAL POVERTY LEVEL. FOR THE SERVICES PROVIDED TO A PATIENT MEETING THESE CRITERIA, EXPECTED PAYMENT SHALL NOT EXCEED THE GREATER OF THE AMOUNT THAT WOULD BE EXPECTED FROM MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, OR HEALTHY FAMILIES FOR THE SAME SERVICES.- PROVIDE INTEREST-FREE PAYMENT PLANS FOR ELIGIBLE PATIENTS UNDER THIS POLICY.- FORGO REPORTS TO CREDIT BUREAUS, REFERRAL OF ACCOUNTS TO COLLECTION AGENCIES, LIENS AGAINST PROPERTY OR WAGE GARNISHMENTS FOR ELIGIBLE PATIENTS WHO ARE MEETING AN AGREED-UPON PAYMENT PLAN.- PROVIDE ADEQUATE NOTICE OF THIS POLICY IN ALL ADMITTING AND RECEPTION AREAS.- OFFER FREE FINANCIAL COUNSELING TO ALL UNINSURED PATIENTS FOR FINANCIAL MATTERS RELATED TO THEIR HOSPITAL BILLS.- FOR ALL UNINSURED PATIENTS ABOVE 100% OF THE CURRENT FEDERAL POVERTY LEVEL, SEVERAL PAYMENT OPTIONS WILL BE PRESENTED, AS FOLLOWS:A. PROMPT PAY DISCOUNT: OFFER A 25% DISCOUNT IF THE ACCOUNT IS PAID IN FULL AT TIME OF SERVICE.B. PAYMENT PLAN: OFFER A 15% DISCOUNT IF THE PATIENT SIGNS AN AGREEMENT REPRESENTING THAT HE/SHE WILL MEET A PAYMENT PLAN THAT WILL PAY THE BALANCE IN FULL WITHIN 6 MONTHS AT NO INTEREST.C. CCS EARLY-OUT: IF THE PATIENT REJECTS EACH OF THE ABOVE OPTIONS, THE ACCOUNT WILL BE SENT TO CCS FOR ""EARLY-OUT"" COLLECTIONS FOR 90 DAYS. THIS ""EARLY-OUT"" PROCESS DOES NOT INCLUDE REPORTS TO CREDIT BUREAUS. AT THE END OF THE 90 DAYS, THE ACCOUNT WILL BE RETURNED TO THE HOSPITAL TO BE REVIEWED FOR POTENTIAL BAD DEBT WRITE-OFF AND COLLECTIONS REPORTING."

PART VI, LINE 2:
"MMH ENGAGED CAROL DAVIS, OWNER AND PRINCIPAL CONSULTANT WITH STRATEGY CONNECTIONS, A HEALTHCARE CONSULTANCY, TO FACILITATE THE THREE-YEAR CHNA UPDATE. TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGHOUT THE CHNA PROCESS, MMH CONDUCTED ONLINE SURVEYS WITH COMMUNITY AND PUBLIC HEALTH REPRESENTATIVES, REFERENCED HEALTH INDICATOR DATA, AND RECEIVED INPUT FROM MMH MEDICAL STAFF.IN ADDITION, MMH ANNUALLY UNDERTAKES A ""WEEK OF WELLNESS"", WHICH PROVIDES FREE HEALTH SCREENINGS AND PROMOTES HEALTHY CHOICES AND GENERAL WELLNESS. THIS EVENT ALLOWS MMH TO ASSESS WHAT HEALTH NEEDS MIGHT BE PERTINENT TO THE INDIVIDUALS WITHIN ITS SERVICE AREA."

PART VI, LINE 3:
UPON PRESENTATION TO OUR ADMITTING PROCESS, ONCE THE PATIENT IDENTIFIES THEY ARE WITHOUT INSURANCE, WE INFORM/EDUCATE THEM ABOUT THEIR OPTIONS WITH GOVERNMENT PROGRAMS AND PROVIDE CONTACT INFORMATION TO ACCESS THOSE PROGRAMS. ADDITIONALLY, WE PROVIDE THE PATIENT WITH OUR POLICIES RELATED TO CHARITY AND A CHARITY APPLICATION SHOULD THEY WISH TO PURSUE THAT ASSISTANCE.

PART VI, LINE 5:
THE HOSPITAL UNDERTAKES MANY ACTIVITIES WHICH HELPS PROMOTES THE HEALTH OF THE COMMUNITY. ONE SUCH EXAMPLE WOULD BE THE OPERATION OF FOUR HEALTH CLINICS; A GOAL OF THE CLINICS IS TO PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. THE HOSPITAL ALSO CONTRACTS WITH THE COUNTY OF MONTEREY TO PROVIDE CONGREGATE MEALS TO ELIGIBLE ADULTS UNDER THE MONTEREY COUNTY ELDERLY NUTRITION PROGRAM. THE HOSPITAL HAS AN OPEN MEDICAL STAFF, AND THE BOARD IS PRIMARILY COMPRISED OF COMMUNITY MEMBERS.

PART VI, LINE 6:
N/A

PART VI, LINE 7, REPORTS FILED WITH STATES
CA

PART VI, LINE 4:
FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL HAS IDENTIFIED THE FOLLOWING EIGHT ZIP CODES AS THE TARGET COMMUNITY: 93960 (SOLEDAD); 93927 (GREENFIELD); 93930 (KING CITY); 93426 (BRADLEY); 93450 (SAN ARDO); 93932 (LOCKWOOD); 93928 (JOLON); AND 93954 (SAN LUCAS). THE ESTIMATED CURRENT POPULATION IN THE SERVICE AREA IS 66,535, WHICH REPRESENTS 3.9% OVERALL GROWTH SINCE THE 20210 CENSUS. NINETY-FOUR PERCENT OF THE POPULATION LIVES IN THE SOLEDAD, GREENFIELD, OR KING CITY ZIP CODES.COMPARED TO THE STATE OF CALIFORNIA, THE OVERALL PROFILE OF THE CHNA SERVICE POPULATION INDICATES THAT RESIDENTS: (I) ARE YOUNGER, (II) HAVE LESS FORMAL EDUCATION, (III) HAVE LESS HOUSEHOLD INCOME, (IV) ARE MORE LIKELY TO BE FOREIGN-BORN, (V) ARE MORE LIKELY TO LIVE IN POVERTY, (VI) ARE MORE LIKELY TO BE HISPANIC OR LATINO, AND (VII) ARE LESS LIKELY TO BE MILITARY VETERANS. THE MEDIAN AGE IN THE HOSPITAL SERVICE AREA IS 31.7, COMPARED 36.4 WITHIN CALIFORNIA AND 38.0 WITHIN THE UNITED STATES. THE PERCENTAGE OF INDIVIDUALS WITH A HIGH SCHOOL DEGREE OR HIGHER WITHIN THE HOSPITAL SERVICE AREA IS 51.3%, COMPARED TO 82.5% WITHIN CALIFORNIA AND 87.3% WITHIN THE UNITED STATES. THE MEDIAN HOUSE INCOME WITHIN THE HOSPITAL SERVICE AREA IS $51,174, COMPARED TO $67,169 WITHIN CALIFORNIA AND $57,652 WITHIN THE UNITED STATES. THE PERCENTAGE OF INDIVIDUALS WHO ARE FOREIGN-BORN WITHIN THE HOSPITAL SERVICE AREA IS 37.1%, COMPARED TO 27.0% WITHIN CALIFORNIA AND 13.4% WITHIN THE UNITED STATES. THE PERCENTAGE OF INDIVIDUALS THAT ARE BELOW POVERTY WITHIN THE HOSPITAL SERVICE AREA IS 18.5%, COMPARED TO 13.3% WITHIN CALIFORNIA AND 12.3% WITHIN THE UNITED STATES. THE PERCENTAGE OF INDIVIDUALS WHO ARE HISPANIC OR LATINO WITHIN THE HOSPITAL SERVICE AREA IS 78.3%, COMPARED TO 39.1% WITHIN CALIFORNIA AND 18.1% WITHIN THE UNITED STATES. THE PERCENTAGE OF INDIVIDUALS WHO ARE MILITARY VETERANS WITHIN THE HOSPITAL SERVICE AREA IS 2.0%, COMPARED TO 4.2% WITHIN CALIFORNIA AND 5.8% WITHIN THE UNITED STATES.