4A (Expenses $ 234686622 including grants of $ 37117) (Revenue $ 265711151)
USC ARCADIA HOSPITAL IS A 348-LICENSED BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN ARCADIA, CA. FOUNDED IN 1903, USC ARCADIA HOSPITAL IS COMMITTED TO PROVIDING EXCELLENT PATIENT CARE DELIVERED WITH COMPASSION AND RESPECT. USC ARCADIA HOSPITAL PROVIDES CLINICAL SERVICES, DIAGNOSTIC TESTING, INPATIENT AND OUTPATIENT SURGERY, INTENSIVE CARE UNITS, CARDIAC CATHETERIZATION, CARDIAC SURGERY, CHEST PAIN CENTER, A STROKE PROGRAM, CANCER SERVICES, HIP AND KNEE REPLACEMENT, SPINE SURGERY, MATERNITY SERVICES, WEIGHT LOSS SURGERY, PHYSICAL THERAPY, ACUTE PHYSICAL REHABILITATION, AND WOUND HEALING.

SCHEDULE H, PART V, SECTION B, LINE 3E
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

SCHEDULE H, PART V, SECTION B, LINE 5
USC ARCADIA HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT COMPILED A VARIETY OF DEMOGRAPHIC AND HEALTH DATA AND INFORMATION, GATHERED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES. WE DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FINDINGS ARE BASED ON SURVEYS WITH REPRESENTATIVES OF COMMUNITY AND PUBLIC ORGANIZATIONS CONDUCTED OVER A FIVE-WEEK PERIOD BEGINNING IN MID-SEPTEMBER 2019. THE FIRST PHASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INVOLVED COLLECTION AND ANALYSIS OF NUMEROUS DEMOGRAPHIC AND HEALTH STATUS AND DATA AND INFORMATION FOR THE HOSPITAL SERVICE AREA AND SERVICE PLANNING AREA (SPA) 3 - SAN GABRIEL VALLEY. THE FOLLOWING TYPES OF DATA WERE ANALYZED: POPULATION, HOUSEHOLD AND FAMILY DEMOGRAPHICS; BIRTH STATISTICS, DEATH STATISTICS, DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS, LARGE-SCALE HOUSEHOLD TELEPHONE SURVEYS DESIGNED TO MEASURE HEALTH ACCESS, UTILIZATION OF HEALTH SERVICES, AND HEALTH BEHAVIORS. WHEREVER POSSIBLE, THE SERVICE AREA HEALTH EXPERIENCE WAS BENCHMARKED TO HEALTHY PEOPLE 2020 TARGETS. IN ADDITION, TO ASSIST WITH PROVIDING CONTEXT TO THE DEMOGRAPHICS, THE HOSPITAL SERVICE AREA IS COMPARED TO LOS ANGELES COUNTY. THE FOLLOWING WERE IDENTIFIED AS THE COMMUNITY'S TOP HEALTH ISSUES (BASED ON FREQUENCY OF OVERALL MENTION): - ACCESS TO HEALTH CARE SPECIFIC TO HEALTH INSURANCE COVERAGE, AVAILABILITY OF PROVIDERS IN THE COMMUNITY, LANGUAGE BARRIERS, AND LACK OF TRANSPORTATION. - DISEASE PREVENTION AND HEALTH PROMOTION, SPECIFIC TO DIABETES, OBESITY, HEART DISEASE, HIGH BLOOD PRESSURE, CANCER, MENTAL HEALTH AND DEMENTIA, AND INFLUENZA AND PNEUMONIA. ACCORDING TO MANY OF THOSE INTERVIEWED, THE SAN GABRIEL VALLEY IN GENERAL AND PERSONS OF ALL AGES, REGARDLESS OF INCOME OR RACIAL/ETHNIC AND CULTURAL BACKGROUNDS, ARE AFFECTED BY THESE HEALTH ISSUES. FOR EXAMPLE, MANY FACE CHALLENGES ASSOCIATED WITH HEALTH CARE ACCESS AND ALZHEIMER'S DISEASE AFFECTS ALL AGE SIXTY AND OLDER. NEIGHBORHOOD AREAS SPECIFICALLY MENTIONED BY THOSE PARTICIPATING IN THE COMMUNITY INTERVIEWS INCLUDED: - ARCADIA - ALHAMBRA - DUARTE - EL MONTE - MONROVIA - SAN GABRIEL - TEMPLE CITY POPULATIONS SPECIFICALLY IDENTIFIED BY THOSE PARTICIPATING IN THE INTERVIEWS: - LOWER SOCIOECONOMIC STATUS - LOWER EDUCATIONAL ATTAINMENT - CHINESE IMMIGRANT FAMILIES WITH LIMITED ENGLISH PROFICIENCY - SPANISH-SPEAKING PERSONS - RACIAL AND ETHNIC MINORITIES - ASIANS, LATINOS, AND AFRICAN AMERICANS - CHILDREN AND ADOLESCENTS - WOMEN - SENIORS - HOMELESS PERSONS THE SECOND PHASE OF THE NEEDS ASSESSMENT FOCUSED ON QUALITATIVE PRIMARY RESEARCH. REPRESENTATIVES FROM THE HOSPITAL AGREED THAT TELEPHONE INTERVIEWS WITH HEALTH DEPARTMENT CONTACTS AND REPRESENTATIVES FROM PUBLIC AND PRIVATE ORGANIZATIONS WOULD BE A COST-EFFECTIVE APPROACH TO GAIN AN UNDERSTANDING OF IMPORTANT HEALTH ISSUES AND POTENTIAL OPPORTUNITIES TO COLLABORATE WITH THESE ORGANIZATIONS. THE FOLLOWING SOURCES OF DATA AND INFORMATION WERE USED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT: - CALIFORNIA DEPARTMENT OF EDUCATION - CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - CENTER FOR SOCIAL SCIENCES RESEARCH AT UNIVERSITY OF CALIFORNIA AT BERKELEY - LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH - LOS ANGELES HOMELESS SERVICES AUTHORITY - LOS ANGELES COUNTY 211.COM - CLARITAS - OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT - UCLA CENTER FOR HEALTH POLICY RESEARCH - UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES THE HOSPITAL UTILIZED THE INPUT RECEIVED FROM ALL OF THE ABOVE ORGANIZATIONS, PLUS QUANTITATIVE DATA GATHERED FROM THE HOSPITAL AND PUBLIC SOURCES TO IMPROVE OUR UNDERSTANDING OF KEY HEALTH ISSUES IN THE SAN GABRIEL VALLEY, AND TO IDENTIFY POTENTIAL OPPORTUNITIES TO COLLABORATE WITH THESE ORGANIZATIONS TO IMPROVE THE OVERALL HEALTH STATUS OF OUR SERVICE AREA POPULATION.

SCHEDULE H, PART V, SECTION B, LINE 7A
THE CHNA IS AVAILABLE AT: https://www.uscarcadiahospital.org/About-Us/Community-Reports.aspx

SCHEDULE H, PART V, SECTION B, LINE 10A
THE IMPLEMENTATION STRATEGY IS AVAILABLE AT: https://www.uscarcadiahospital.org/About-Us/Community-Reports.aspx

SCHEDULE H, PART V, SECTION B, LINE 11
"BASED ON QUANTITATIVE AND QUALITATIVE ANALYSIS, USC ARCADIA HOSPITAL'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (2019 CHNA) IDENTIFIED TWO SIGNIFICANT HEALTH NEEDS: - ACCESS TO HEALTH CARE SERVICES AND CONTINUITY OF CARE - DISEASE PREVENTION AND HEALTH PROMOTION. THE IMPLEMENTATION STRATEGY ADDRESSES BOTH SIGNIFICANT PRIORITY HEALTH NEEDS, WITHIN THE HOSPITAL'S MISSION AND FINANCIAL CAPACITY. THE FOLLOWING OUTLINES THE ACTIONS USC ARCADIA HOSPITAL OF SOUTHERN CALIFORNIA WILL TAKE TO ADDRESS THESE COMMUNITY HEALTH NEEDS, PLANNED COLLABORATIONS, AND EVALUATION PLANS. SIGNIFICANT HEALTH NEED: ACCESS TO HEALTH SERVICES FOR ADULTS AN IMPORTANT SOURCE OF ACCESS TO ADULT HEALTH SERVICES IS USC ARCADIA HOSPITAL'S EMERGENCY DEPARTMENT. THE 26-BED EMERGENCY DEPARTMENT IS OPEN 24-HOURS A DAY AND IS APPROVED BY LOS ANGELES COUNTY EMERGENCY MEDICAL SERVICES AS A STROKE CENTER AND STEMI RECEIVING CENTER. USC ARCADIA HOSPITAL'S EMERGENCY DEPARTMENT IS ALSO CERTIFIED AS AN EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (EDAP). USC ARCADIA HOSPITAL WILL CONTINUE TO OFFER A FREE PHYSICIAN REFERRAL SERVICE TO ASSIST AREA RESIDENTS WITH FINDING A PHYSICIAN, EITHER BY TELEPHONE TO A DEDICATED PHYSICIAN REFERRAL CENTER OR VIA WEB SEARCH. WE WILL ALSO CONTINUE TO PROVIDE A DEDICATED CHINESE HOT LINE. PHYSICIAN REFERRALS ARE FULFILLED BASED ON PHYSICIAN SPECIALTY, LOCATION, GENDER, LANGUAGE, AND OFFICE HOURS; AND HEALTH INSURANCE (INCLUDING MEDICAL AND SENIOR INSURANCE PLANS). USC ARCADIA HOSPITAL'S COMMUNITY OUTREACH DEPARTMENT STAFF WILL CONTINUE TO RESPOND TO THE HEALTH NEEDS OF OUR COMMUNITY. STAFF MEMBERS ACTIVELY COLLABORATE WITH AREA ORGANIZATIONS TO ADDRESS THE UNIQUE NEEDS OF PERSONS LIVING IN OUR SERVICE AREA. SOME EXAMPLES INCLUDE ACTIVE PARTICIPATION IN CHINESE (LUNAR) NEW YEAR STREET FESTIVAL AND AN ASIAN HEALTH FAIR; AND PROGRAM DEVELOPMENT AND COORDINATION WITH AREA SENIOR CENTERS TO PROVIDE SUPPORT FOR SCREENINGS AND HEALTH FAIRS. PLANNED COLLABORATIONS: TO IMPROVE ACCESS TO HEALTH SERVICES IN OUR COMMUNITY, LEADERSHIP AND STAFF WILL REMAIN ACTIVE IN THE FOLLOWING GROUPS: HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 3 COUNCIL, ARCADIA COMMUNITY COORDINATING COUNCIL, MONROVIA COMMUNITY COORDINATING COUNCIL, ASIAN PACIFIC DIABETES COALITION, SOUTHERN CALIFORNIA WOMEN'S HEALTH CONFERENCE, AS WELL AS VARIOUS JOINT OPERATING COMMITTEES (COMPRISED OF LEADERS FROM THE HOSPITAL, LOCAL PHYSICIANS ORGANIZATIONS, AND HEALTH PLANS). EVALUATION PLAN: USC ARCADIA HOSPITAL WILL MONITOR AND REPORT: ACTIVITY IN OUR EMERGENCY DEPARTMENT, PERSONS SERVED BY PHYSICIAN REFERRALS, AND RESULTS OF CALIFORNIA HEALTH INTERVIEW SURVEYS FOR SERVICE PLANNING AREA 3 (SAN GABRIEL VALLEY) BENCHMARKED TO HEALTHY PEOPLE 2020 NATIONAL OBJECTIVES FOR: NON-ELDERLY PERSONS WITH HEALTH INSURANCE, USUAL SOURCE OF ONGOING CARE, DELAYS IN GETTING MEDICAL CARE, DELAYS IN GETTING PRESCRIPTION MEDICATIONS, DEATHS DUE TO CORONARY HEART DISEASE AND CIRRHOSIS, SENIORS WHO RECEIVED A FLU SHOT, AND SENIORS WITH HIGH BLOOD PRESSURE. SIGNIFICANT HEALTH NEED: DISEASE PREVENTION AND HEALTH PROMOTION TO ADDRESS THE COMMUNITY NEED FOR SERVICES FOR HEALTH CONDITIONS, USC ARCADIA HOSPITAL WILL CONTINUE TO PROVIDE STRONG DIAGNOSTIC AND TREATMENT SERVICES ADDRESSING HEART DISEASE, STROKE, AND CANCER: USC ARCADIA HOSPITAL'S HIGHLY SPECIALIZED CARDIAC SERVICES INCLUDE: - AVAILABILITY OF A CARDIAC CARE TEAM 24-HOURS A DAY, SEVEN DAYS A WEEK - DEDICATED HANDLING OF STEMI PATIENTS IN THE HOSPITAL'S EMERGENCY DEPARTMENT - THREE CARDIAC CATHETERIZATION LABORATORIES - TWO DEDICATED OPERATING ROOMS FOR OPEN-HEART SURGERY AND VALVE REPLACEMENTS - SPECIALIZED CORONARY CARE UNIT AND CARDIAC PATIENT CARE UNIT - INPATIENT AND OUTPATIENT CARDIAC REHABILITATION PROGRAMS USC ARCADIA HOSPITAL IS A DESIGNATED STROKE RECEIVING CENTER FOR LA COUNTY EMS. USC ARCADIA HOSPITAL ALSO PROVIDES NEURO-INTERVENTIONAL RADIOLOGY SERVICES. USC ARCADIA HOSPITAL OFFERS THE FULL COMPLEMENT OF ONCOLOGY SERVICES, INCLUDING EARLY DETECTION CANCER SCREENINGS, SURGERY, CHEMOTHERAPY, RECONSTRUCTIVE SURGERY, PAIN MANAGEMENT, AND SUPPORT GROUPS. USC ARCADIA HOSPITAL ALSO PROVIDES HOSPITAL AND PHYSICIAN SERVICES AT TWO SPECIALIZED OUTPATIENT CLINICS: GYN ONCOLOGY INSTITUTE AND THE INSTITUTE FOR SURGICAL SPECIALTIES - TO CONTINUE TO EXPAND ACCESS TO OUTSTANDING CLINICAL SERVICES TO RESIENTS AND VISITORS ACROSS OUR SERVICE AREA. TO PROACTIVELY ADDRESS HEALTH CONDITIONS OF IMPORTANCE TO RESIDENTS OF THE SERVICE AREA, USC ARCADIA HOSPITAL WILL PROVIDE ADDITIONAL RESOURCES THROUGH HEALTH EDUCATION AND SCREENING PROGRAMS, AS FOLLOWS: - HEALTH FAIRS AND SCREENINGS: USC ARCADIA HOSPITAL WILL PARTICIPATE IN HEALTH FAIRS ADDRESSING SENIORS AND ADULTS, THE LATINO COMMUNITY, AND THE ASIAN COMMUNITY. - BLOOD PRESSURE TESTING: USC ARCADIA HOSPITAL WILL OFFER BLOOD PRESSURE SCREENINGS ON A MONTHLY BASIS AT SCHEDULED TIMES AT THE ARCADIA COMMUNITY CENTER, MONROVIA COMMUNITY CENTER, AND SIERRA MADRE HART PARK HOUSE; AND CONTINUE TO SPONSOR A HEART CHECK CENTER FREE BLOOD PRESSURE TESTING KIOSK DISPLAY AT THE WESTFIELD SANTA ANITA MALL IN ARCADIA, WHICH SERVED 30,875 BLOOD PRESSURE SCREENINGS IN 2019. - CARDIAC SUPPORT GROUP: USC ARCADIA HOSPITAL WILL CONTINUE TO PROVIDE A ""MENDED HEART"" PROGRAM FOR HEART PATIENTS AND THEIR CAREGIVERS WHO HAVE HAD EXPERIENCE OR HAVE BEEN DIAGNOSED WITH HEART PROBLEMS. - DIABETES CLASSES: TO ASSIST THOSE WITH DIABETES USC ARCADIA HOSPITAL WILL OFFER SPECIALIZED CLASSES. THESE FREE DIABETES MANAGEMENT CLASSES (4-WEEK SERIES FOR TWO HOURS EACH SESSIONS) ARE TAUGHT BY A TEAM THAT INCLUDES A REGISTERED NURSE, DIABETES EDUCATOR, REGISTERED DIETITIAN, AND A PHYSICAL THERAPIST. THE CLASSES DISCUSS TOPICS SUCH AS EATING WITH DIABETES, EXERCISE, BLOOD GLUCOSE MONITORING, MEDICATIONS, AND PREVENTING COMPLICATIONS. WE WILL CONTINUE TO PROVIDE DIABETES MANAGEMENT SUPPORT GROUPS FOR THOSE DEALING WITH DIABETES. - CANCER WORKSHOPS: TO RAISE AWARENESS AND ASSIST THOSE WITH CANCER, USC ARCADIA HOSPITAL WILL OFFER CANCER SURVIVOR PROGRAMS AS A BODY-AND-MIND STRENGTHENING PROGRAM FOR SURVIVORS OF ANY TYPE OF CANCER. - HEALTH MINISTRIES PROGRAM: CONTINUE TO ASSIST LOCAL CONGREGATIONS BY PROVIDING GUIDANCE, SUPPORT, AND RESOURCES TO PARISH NURSES AND HEALTH CABINETS. - 50+ HEALTH CONNECTION PROGRAM: CONTINUE TO PROVIDE HEALTH EDUCATION, SCREENING SERVICES, AND PHYSICIAN REFERRALS FOR SENIORS. - EXPANDED WEB SITE: CONTINUE TO PROVIDE ADDITIONAL HEALTH INFORMATION SPECIFIC TO HEART DISEASE, STROKE, DIABETES, CANCER AND INJURIES AND A COMMUNITY CALENDAR OF EVENTS, COMPLETE WITH REGISTRATION INFORMATION, LOCATIONS, DATES, AND TIMES. THOSE INTERESTED CAN ALSO FOLLOW THE HOSPITAL ON VARIOUS SOCIAL MEDIA PLATFORMS INCLUDING FACEBOOK, TWITTER, YOUTUBE, PINTEREST, LINKEDIN, AND YELP. PLANNED COLLABORATIONS: TO SUPPORT DISEASE PREVENTION AND HEALTH PROMOTION ACTIVITIES, USC ARCADIA HOSPITAL WILL WORK CLOSELY WITH CHURCHES; CITIES OF ARCADIA, MONROVIA AND SIERRA MADRE; AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, AND WESTFIELD SANTA ANITA MALL. EVALUATION PLAN: USC ARCADIA HOSPITAL WILL MONITOR AND REPORT PARTICIPATION, ATTENDANCE AND PROGRAM EVALUATIONS AT VARIOUS COMMUNITY ACTIVITIES; RESULTS OF CALIFORNIA HEALTH INTERVIEW SURVEYS BENCHMARKED TO HEALTHY PEOPLE 2020 NATIONAL OBJECTIVES FOR: DIAGNOSED WITH HIGH BLOOD PRESSURE, DIAGNOSED WITH DIABETES, HEALTHY WEIGHT AND OBESITY; AND ANALYSIS OF AGE-ADJUSTED DEATH RATES DUE TO CORONARY HEART DISEASE, STROKE, DIABETES-RELATED DEATHS, AND VARIOUS CANCERS. LOS ANGELES COUNTY DID NOT MEET THE OBJECTIVES RELATED TO HOMICIDE AND CHRONIC LIVER DISEASE AND CIRRHOSIS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED TWO HEALTH NEEDS NOT DIRECTLY ADDRESSED BY THE SERVICES PROVIDED BY THE HOSPITAL. THEY ARE HOMELESSNESS AND FOOD INSECURITY. WHILE THE HOSPITAL DOES NOT HAVE ANY PROGRAMS THAT SEEK TO ALLEVIATE HOMELESSNESS, THE HOSPITAL DOES PROVIDE EMERGENCY AND OTHER URGENT MEDICAL CARE TO HOMELESS INDIVIDUALS. AS PART OF THE MEDICAL SERVICES THE HOSPITAL MAY PROVIDE FOOD, CLOTHING, MEDICINE AND DIRECT NOMINAL CASH ASSISTANCE TO HOMELESS PATIENTS ON DISCHARGE TO ENSURE THEY HAVE ACCESS TO FOLLOW UP CARE OR HAVE TRANSPORTATION TO FAMILY OR FACILITIES THAT CAN PROVIDE TEMPORARY HOUSING. REGARDING FOOD SECURITY, AGAIN THE HOSPITAL HAS NO DIRECT PROGRAMS WHICH ADDRESS THE ISSUE, BUT MAY UPON DISCHARGE PROVIDE FOOD OR NOMINAL CASH ASSISTANCE, IN ADDITION TO REFERRALS TO FOOD BANKS, TO PATIENTS WHO HAVE BEEN IDENTIFIED AT RISK FOR FOOD INSECURITY"

SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C
THE FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT: https://www.uscarcadiahospital.org/For-Patients-Visitors-Vendors/Financial -Assistance-for-Patients.aspx

SCHEDULE H, PART I, LINE 7
COST OF CHARITY IS ON THE HOSPITAL'S COST ACCOUNTING SYSTEM, WHICH ADDRESSES ALL PATIENT SEGMENTS. OTHER BENEFITS - BASED ON ACTUAL COSTS PROVIDED BY VARIOUS DEPARTMENTS OF THE ORGANIZATION AND COLLECTED/VALIDATED BY THE COMMUNITY OUTREACH DEPARTMENT.

SCHEDULE H, PART I, LINE 7G
NONE OF THE COSTS ARE ATTRIBUTABLE TO PHYSICIAN CLINICS.

SCHEDULE H, PART II
2021 COMMUNITY BUILDING ACTIVITIES IN YEAR 2021, USC ARCADIA HOSPITAL PROVIDED A VARIETY OF PROGRAMS AND SERVICES IN SUPPORT OF THE COMMUNITY. SOME OF THE SERVICES PROVIDED WERE: - SPONSORED A HEART CHECK CENTER FREE BLOOD PRESSURE AND BODY MASS INDEX (BMI) TESTING KIOSK AT THE WESTFIELD SANTA ANITA MALL IN ARCADIA, PERFORMING 256 BLOOD PRESSURE SCREENINGS AND 313 BMI SCREENINGS (LIMITED IN TIME DUE TO SAFE AT HOME ORDERS DURING THE COVID-19 PANDEMIC). - PROVIDED INFORMATIONAL LECTURES AT VARIOUS COMMUNITY AND VIRTUAL EVENTS THROUGHOUT THE YEAR, INCLUDING: - JANUARY 26: VIRTUAL TALK ON WELL WOMAN CARE DURING COVID-19 PANDEMIC - MARCH 6: VIRTUAL TALK ON COVID-19 LATEST TREATMENTS AND VACCINATIONS - MARCH 10: UNITED HEALTH CARE NEW MEMBER ORIENTATION - - APRIL 7: UNITED HEALTH CARE NEW MEMBER ORIENTATION - MANDARIN - APRIL 8: UNITED HEALTH CARE NEW MEMBER ORIENTATION - CANTONESE - MAY 5: UNITED HEALTH CARE NEW MEMBER ORIENTATION - MANDARIN - MAY 13: UNITED HEALTH CARE NEW MEMBER ORIENTATION - CANTONESE - JULY 8: VIRTUAL TALK ON LOSE WEIGHT, GAIN HEALTH - JULY 27: CRIME PREVENTION AND COMMUNITY SAFETY TALK AT USC ARCADIA HOSPITAL - AUGUST 28: VIRTUAL TALK ON AFIB IN MANDARIN - OCTOBER 16: MOUNT WILSON TRAIL RACE 2021 IN SIERRA MADRE - OCTOBER 23: VIRTUAL TALK ON COVID-19 BOOSTER SHOTS AND THE FLU SEASON - OCTOBER 23: WORLD JOURNAL SENIOR HEALTH AND WELLNESS EXPO AT EL MONTE TAIPEI CULTURAL CENTER - OCTOBER 29: HALLOWEEN HAUNTING IN DOWNTOWN ARCADIA - NOVEMBER 9: FLU SHOT CLINIC AT ARCADIA COMMUNITY CENTER - NOVEMBER 12: SOUTHERN CALIFORNIA WOMEN'S CONFERENCE AT PASADENA HILTON AND ONLINE - DECEMBER 2: FLU SHOT CLINIC AT ARCADIA COMMUNITY CENTER

SCHEDULE H, PART III, LINE 2
USC ARCADIA HOSPITAL ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE JANUARY 1, 2019. ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONCESSIONS. ACCORDINGLY, USC ARCADIA HOSPITAL NO LONGER SEPARATELY PRESENTS A PROVISION FOR BAD DEBTS ON THE STATEMENT OF OPERATIONS OR THE RELATED ALLOWANCE FOR BAD DEBTS ON THE BALANCE SHEET.

SCHEDULE H, PART III, LINE 8
THE EXTENT TO WHICH ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: MEDICARE SHORTFALLS ARE REPORTED AS A COMMUNITY BENEFIT BECAUSE THE COST OF PROVIDING HEALTHCARE TO THE PATIENTS EXCEEDS THE REIMBURSEMENT. IN SUMMARY, THE HEALTHCARE SERVICES ARE PROVIDED OR RENDERED AT A LOSS. THE METHODOLOGY FOR CALCULATING THE LOSS IS BASED ON THE AS FILED MEDICARE COST REPORT. COSTING METHODOLOGY USED: MEDICARE COST IS CALCULATED USING THE COST-TO- CHARGE RATIO.

SCHEDULE H, PART III, LINE 9B
CHARITY CARE PROVISION: IF A PATIENT IS DEEMED TO QUALIFY FOR 100% FINANCIAL ASSISTANCE THE PATIENT LIABILITY IS WRITTEN OFF ENTIRELY AND THERE ARE NO FURTHER COLLECTION ACTIVITIES. HOWEVER, IF A PATIENT IS QUALIFIED FOR A PARTIAL FINANCIAL ASSISTANCE WRITE OFF (INCOME FALLS BETWEEN 201% AND 350% OF THE FEDERAL POVERTY GUIDELINES) THE AMOUNT APPROVED FOR FINANCIAL ASSISTANCE IS WRITTEN OFF BASED ON A TIER SCALE AND WRITTEN OFF AS A PARTIAL ASSISTANCE APPROVAL. THIS LEAVES THE PATIENT A SMALL PERCENTAGE AS PATIENT LIABILITY. UNINSURED PATIENTS ARE ENCOURAGED TO APPLY FOR USC ARCADIA HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM (UNCOMPENSATED CARE). PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE WILL BE REPORTED TO CREDIT AGENCIES, IN ACCORDANCE WITH THE USC ARCADIA HOSPITAL'S BAD DEBT POLICY. ACCOUNTS WILL NOT BE APPROVED FOR LEGAL ACTION (BEYOND REPORTING TO CREDIT AGENCIES) UNTIL THE AGENCY SCREENS THE PATIENT FOR UNDERCOMPENSATED CARE. ONLY THOSE PATIENTS WHOSE INCOME EXCEEDS 200% OF FEDERAL POVERTY GUIDELINES WILL BE APPROVED FOR LEGAL ACTION. USC ARCADIA HOSPITAL WILL NOT GARNISH WAGES.

SCHEDULE H, PART VI, LINE 2
IN PREPARING THE COMMUNITY HEALTH NEEDS ASSESSMENT, USC ARCADIA HOSPITAL COMBINED QUANTITATIVE DATA ABOUT SERVICE AREA DEMOGRAPHICS, AVAILABILITY OF HEALTH INSURANCE, HEALTH ACCESS TO AND UTILIZATION OF KEY SERVICES, HEALTH STATUS, AND HEALTH BEHAVIORS WITH QUALITATIVE DATA ON OPINIONS OF IMPORTANT HEALTH ISSUES IN THE COMMUNITY. THE FOLLOWING CRITERIA WERE USED TO IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY: - HEALTHY PEOPLE 2020 METRICS - NUMBER OF PERSONS AFFECTED - IDENTIFICATION AND/OR VALIDATION AS AN IMPORTANT HEALTH ISSUE BY COMMUNITY LEADERS - IDENTIFIED BY COMMUNITY ORGANIZATIONS AS AN OPPORTUNITY TO WORK COLLABORATIVELY TO ADDRESS HEALTH ISSUE.

SCHEDULE H, PART VI, LINE 3
USC ARCADIA HOSPITAL INFORMS MEDICAL STAFF AND EMPLOYEES OF AVAILABLE LOW AND NO-COST RESOURCES. THIS INFORMATION IS DISTRIBUTED THROUGH COMMUNITY OUTREACH RESOURCE TABLES AT EMPLOYEE FAIRS, INTERNAL BULLETINS, AND MANAGEMENT MEETINGS. THE HOSPITAL ALSO PROVIDES MEDICARE COUNSELING TO STAFF AND EMPLOYEES. USC ARCADIA HOSPITAL DISTRIBUTES ITS FINANCIAL ASSISTANCE POLICY AND RELEVANT CONTACT INFORMATION TO PATIENTS UPON THEIR ADMITTANCE TO THE HOSPITAL. USC ARCADIA HOSPITAL POSTS ITS FINANCIAL ASSISTANCE POLICY IN THE EMERGENCY AND ADMITTING DEPARTMENTS. THIS INFORMATION IS ALSO PROVIDED TO PATIENTS UPON DISCHARGE AND IS PROVIDED AMONG THE BILLING DOCUMENTS.

SCHEDULE H, PART VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORT THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN CALIFORNIA.

SCHEDULE H, PART VI, LINE 4
THE SERVICE AREA POPULATION (2019) IS ESTIMATED AT 783,391 PERSONS. THE POPULATION IN THE SERVICE AREA IS FORECAST TO INCREASE 2.5 PERCENT IN THE NEXT FIVE YEARS, TO 803,197 PERSONS. GROWTH PROJECTIONS FOR HOUSEHOLDS AND FAMILIES ARE ESTIMATED TO INCREASE 2.7 PERCENT AND 2.6 PERCENT, RESPECTIVELY. THE FOLLOWING TABLE SUMMARIZES THE SERVICE AREA POPULATION, HOUSEHOLDS, AND FAMILIES AS WELL AS THE PERCENT CHANGE PROJECTED FOR 2024 (OVER A FIVE-YEAR PERIOD). THE 2019 DEMOGRAPHIC DISTRIBUTION IS AS FOLLOWS: - AGE GROUP: - 21 TO 64 YEARS - 59% - UNDER 21 YEARS - 25% - 65 YEARS AND OVER - 16% - RACE/ETHNICITY - WHITE - 17.7% - BLACK - 2.9% - AMERICAN INDIAN/ALASKAN NATIVE - 0.1% - ASIAN - 33.0% - NATIVE HAWAIIAN OR PACIFIC ISLANDER - 0.1% - HISPANIC - 44.3% - SOME OTHER RACE - 0.2% - TWO OR MORE RACES - 1.7% - LANGUAGE SPOKEN AT HOME: - ENGLISH ONLY - 35.0% - SPANISH - 33.9% - ASIAN OR PACIFIC ISLAND LANGUAGE - 28.1% - EUROPEAN LANGUAGE - 2.5% - OTHER LANGUAGE - 0.5% - SERVICE AREA AVERAGE HOUSEHOLD INCOME - $99,905 - SERVICE AREA PERCENTAGE BELOW FEDERAL POVERTY LEVEL ($26,200 FOR FAMILY OF FOUR) - 11.4% VS LOS ANGELES COUNTY AVERAGE OF 13.2% - NUMBER OF HOSPITALS SERVING THE COMMUNITY - FOUR: USC ARCADIA, MONROVIA MEMORIAL, CITY OF HOPE, SAN GABRIEL VALLEY (OF THESE, 2 ARE SPECIALTY HOSPITALS - CITY OF HOPE AND MONROVIA).

SCHEDULE H, PART VI, LINE 5
"USC ARCADIA HOSPITAL'S BOARD OF DIRECTORS CONSISTS ALMOST ENTIRELY OF MEMBERS WHO RESIDE IN ITS SERVICE AREA. THE BOARD IS DEDICATED TO MEETING THE UNIQUE HEALTH NEEDS AND DEMANDS IN ITS COMMUNITY. ADDITIONALLY, THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF WHICH ENCOURAGES PHYSICIAN COVERAGE FOR NEEDED SERVICES. TO PROACTIVELY ADDRESS HEALTH CONDITIONS OF THE SERVICE AREA, USC ARCADIA HOSPITAL PROVIDED ADDITIONAL RESOURCES THROUGH HEALTH EDUCATION AND SCREENING PROGRAMS FOR ADULTS. FOR 2021, THE HOSPITAL PROVIDED: - SPONSORED A HEART CHECK CENTER FREE BLOOD PRESSURE TESTING KIOSK DISPLAY AT THE WESTFIELD SANTA ANITA MALL IN ARCADIA. -TO ASSIST THOSE WITH DIABETES AND RELATED HEALTH CONDITIONS, USC ARCADIA HOSPITAL OFFERED A NUMBER OF SPECIALIZED CLASSES IN FISCAL YEAR 2021. LICENSED DIETITIANS ASSISTED COMMUNITY MEMBERS WITH EDUCATION AND SUPPORT IN A VARIETY OF MONTHLY PROGRAMS, INCLUDING: BARIATRIC NUTRITION CLASS, BARIATRIC SUPPORT GROUP, GESTATIONAL DIABETES, OBESITY AND WEIGHT LOSS, WOUND, AND CANCER, RENAL AND OTHER NUTRITIONAL CONSULTS. -TO MEET THE NEEDS OF ACTIVE, OLDER ADULTS, USC ARCADIA HOSPITAL OFFERS OUR ""50+ HEALTH CONNECTION"" PROGRAM. THIS PROGRAM ALLOWS MEMBERS TO PARTICIPATE IN FREE HEALTH EDUCATION, SCREENINGS, ANNUAL FLU CLINICS, AND PHYSICIAN REFERRALS. -IN 2021, USC ARCADIA HOSPITAL HELD TWO FLU SHOT CLINICS (ON NOVEMBER 9 AND DECEMBER 2) AT ARCADIA COMMUNITY CENTER. -USC ARCADIA HOSPITAL AND ARCADIA RECREATION AND COMMUNITY SERVICES HOSTED TEN VIRTUAL HEALTH TALKS BY PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS ADDRESSING THE FOLLOWING TOPICS: - JANUARY 19: SLEEP, SLEEP DISORDERS, INSOMNIA SOLUTIONS AND SLEEP AND MENTAL HEALTH - FEBRUARY 23: HEALTH AND MOBILITY: FEELING STRONG, STEADY AND SAFE - APRIL 16: COVID-19 LATEST UPDATES AND VACCINATIONS - APRIL 23: UNDERSTANDING PSORIATIC ARTHRITIS AND PSORIASIS - MAY 4: GIVE YOUR IMMUNE SYSTEM A BOOST WHILE REDUCING STRESS - MAY 25: UNDERSTAND YOUR RISK FOR STROKE - JUNE 25: HERE COMES THE SUN! PREVENTING SKIN CANCER AND HEALTHY SUMMERTIME TIPS - JULY 16: STAY ACTIVE BY KEEPING YOUR JOINTS HEALTHY - SEPTEMBER 30: IRREGULAR HEARTBEAT: ATRIAL FIBRILLATION AND HEART HEALTH - NOVEMBER 16: GOOD FAT VS BAD FAT: HEALTHY HOLIDAY COOKING DEMO - BEGINNING IN FEBRUARY, A STROKE AND BRAIN INJURY SUPPORT GROUP - OPEN TO ANY STROKE OR BRAIN INJURY SURVIVOR OR CARE PARTNER IN THE COMMUNITY - MET MONTHLY. - HEALTH MINISTRIES PROGRAM THAT ASSISTS LOCAL CONGREGATIONS TO PROVIDE GUIDANCE, SUPPORT, AND RESOURCES TO PARISH NURSES AND HEALTH CABINETS."